LORI RUBENSTEIN FAZZIO (NPI# 1427129642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427129642 |
| Entity Type | Individual |
| Full Name | LORI RUBENSTEIN FAZZIO |
| Credential | PT |
| Practice Address |
11835 W Olympic Blvd Suite 135e Los Angeles CA 90064-5001 |
| Mailing Address |
Po Box 641428 Los Angeles CA 90064-6428 |
| Practice Telephone | 3104016410 |
| Practice Fax Number | 3103123637 |
| Mailing Telephone | 3104016410 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT 14694 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE CORPORATION GROUP PTAN | W16543 | 01 |
| CA | MEDICARE PTAN | WPT14694A | 01 |
| Street Address |
11835 W OLYMPIC BLVD SUITE 135E |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942284989 | Julia Hobbs Speech Pathology, Inc. | Speech-Language Pathologist | 11835 W Olympic Blvd, #300, Los Angeles, CA 90064-5001 | 2005-12-02 |
| 1477115269 | Naguine Manon Bensimon Tree | Speech-Language Pathologist | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2019-07-02 |
| 1235620337 | Camila Mariana Llosa | Behavioral Analyst | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-05-24 |
| 1336644392 | Emon Davenport | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-03-29 |
| 1043711179 | Amy Guadalupe Canal | Behavioral Analyst | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-23 |
| 1336640739 | Marian Krull | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-22 |
| 1033610498 | Negar Ghorbanali | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-21 |
| 1548760028 | Marina Vaynman | Behavioral Analyst | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-20 |
| 1124528765 | Ivette Flores | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-20 |
| 1639536287 | Dajana Samanc | Behavioral Analyst | 11835 W Olympic Blvd, Suite 140e, Los Angeles, CA 90064-5001 | 2016-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on LORI RUBENSTEIN FAZZIO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.