KELLY NICOLE GENBERG (NPI# 1437799129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437799129 |
Entity Type | Individual |
Full Name | KELLY NICOLE GENBERG |
Practice Address |
2850 Artesia Blvd Redondo Beach CA 90278-3419 |
Mailing Address |
3510 N El Dorado Dr Long Beach CA 90808-3207 |
Practice Telephone | 4242759968 |
Mailing Telephone | 5628337125 |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
Street Address |
2850 ARTESIA BLVD |
City | REDONDO BEACH |
State | CA |
Zip Code | 90278-3419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780687533 | Frank A. Alvarado | Dentist | 2850 Artesia Blvd, Ste 210, Redondo Beach, CA 90278-3413 | 2005-05-24 |
1255895686 | Marlene E Roberts | Family Medicine | 2850 Artesia Blvd, Redondo Beach, CA 90278-3419 | 2019-01-30 |
1336656842 | Norma L De La Torre | Specialist/Technologist | 2850 Artesia Blvd, Redondo Beach, CA 90278-3419 | 2018-01-05 |
1538608153 | Carolyn Wolfe | Specialist/Technologist | 2850 Artesia Blvd, 107, Redondo Beach, CA 90278-3419 | 2017-02-15 |
1982149423 | Elaine Chan | Physical Therapist | 2850 Artesia Blvd, Ste 207, Redondo Beach, CA 90278-3413 | 2016-12-19 |
1053582239 | Barry A. Wertheimer, Dpm | Podiatrist | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3419 | 2008-03-17 |
1437331600 | Redondo Beach Podiatry Group, Inc. | Podiatrist | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3419 | 2007-11-29 |
1639366941 | Roohbakhsh Maher Dpm. Inc | Podiatrist | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3419 | 2007-10-01 |
1275726499 | Dr Peggy G Magnusson | Durable Medical Equipment & Medical Supplies | 2850 Artesia Blvd, #204, Redondo Beach, CA 90278-3419 | 2007-08-21 |
1962530063 | Joan H Mackenzie | Psychiatry & Neurology | 2850 Artesia Blvd, Suite 209 Joan H Mackenzie Md, Redondo Beach, CA 90278-3413 | 2007-03-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194354233 | Bobby Kou | Occupational Therapist | 2012 Mathews Ave #b, Redondo Beach, CA 90278 | 2020-04-01 |
1053827329 | Bright Day Therapy Center Inc | Occupational Therapist | 2602 Nelson Ave, Redondo Beach, CA 90278 | 2017-12-21 |
1902147978 | Nancy A Livingston | Nurse Practitioner | 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 | 2013-03-15 |
1437460599 | Su Jin Feuer | Social Worker | 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 | 2010-06-23 |
1477711372 | Sormeh Rastegar Panah | Dentist | 2731 Manhattan Beach Blvd, Redondo Beach, CA 90278 | 2008-05-28 |
1124244348 | James A Nguyen Dds A Dental Corp | Dentist | 1738 Aviation Blvd., Redondo Beach, CA 90278 | 2007-04-17 |
1730233628 | Kenneth D Ochi | Dentist | 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 | 2007-01-22 |
1609935675 | Allen Joseph Selner | Podiatrist | 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 | 2006-12-06 |
1184794430 | Reza Khaghani | General Practice | 1959 Kingsdale Avenue, Rodondo Beach, CA 90278 | 2006-11-08 |
1932291473 | Mathew James Deville | Chiropractor | 1981 Artesia Blvd, Redondo Beach, CA 90278 | 2006-09-29 |
Find all providers in zip 90278 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134674344 | Renee Almanza | Specialist/Technologist | 1907 Grant Ave, #1, Redondo Beach, CA 90278-3532 | 2016-08-17 |
1023642295 | Kevyne Marie Dantes | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2020-02-26 |
1750928933 | Mercedes Cristina Mendoza | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2019-12-05 |
1568007599 | Amber M Piercey | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2019-11-13 |
1134761596 | Tamisha Shawndis Tague | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2019-10-16 |
1639722432 | Brenda Flores Davalos | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2019-07-20 |
1851954937 | Amanda Akens | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2019-04-15 |
1760955579 | Bejani Turley | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2019-01-03 |
1295200996 | Shannon Woodland | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2018-10-09 |
1578059069 | Christina Maria Schilb | Specialist/Technologist | 2850 Artesia Blvd Ste 107, Redondo Beach, CA 90278-3412 | 2018-07-08 |
Find all providers in REDONDO BEACH |
City | REDONDO BEACH |
Zip Code | 90278 |
Please comment or provide details below to improve the information on KELLY NICOLE GENBERG.
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.