KELLY NICOLE GENBERG


Address: 2850 Artesia Blvd, Redondo Beach, CA 90278-3419
Phone: 4242759968

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
Speech, Language and Hearing Service Providers

Office Location

Street Address 2850 ARTESIA BLVD
City REDONDO BEACH
State CA
Zip Code 90278-3419

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City REDONDO BEACH
Zip Code 90278

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Dataset Information

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.

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