ESTIANDAN'S MEDICAL GROUP, INC. (NPI# 1457440497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457440497 |
| Entity Type | Organization |
| Organization Name | ESTIANDAN'S MEDICAL GROUP, INC. |
| Practice Address |
2115 Beverly Blvd Suite 100 Los Angeles CA 90057-2200 |
| Practice Telephone | 2134836080 |
| Practice Fax Number | 2134836234 |
| Mailing Telephone | 2134836080 |
| Mailing Fax Number | 2134836234 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CARLOS P. ESTIANDAN (PRESIDENT) |
| Authorized Official Telephone | 2134837315 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | A38326 | CA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | A38326 | CA | Allopathic & Osteopathic Physicians |
| X | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A38326 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2115 BEVERLY BLVD SUITE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356971014 | Jingwen Zhang | Behavioral Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2020-01-22 |
| 1215577473 | Ana Foster | Assistant Behavior Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2020-01-15 |
| 1568007227 | Falen Martinez | Assistant Behavior Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2019-11-16 |
| 1649815309 | Beatriz Merino | Assistant Behavior Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2019-11-16 |
| 1457996118 | Yvonne Harada | Assistant Behavior Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2019-11-16 |
| 1902441660 | Tifanny Padilla | Assistant Behavior Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2019-11-16 |
| 1396206934 | Janise Marie Williams | Behavioral Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2019-03-27 |
| 1104302678 | Simin Eshtehardi | Marriage & Family Therapist | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2018-07-17 |
| 1689199457 | Frances Iris Daof Fisk | Marriage & Family Therapist | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2017-08-13 |
| 1700241221 | Catherine A. Hopp | Behavioral Analyst | 2115 Beverly Blvd, Los Angeles, CA 90057-2203 | 2015-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1629680905 | Siavash Arani | Internal Medicine | 4524 San Pedro Pl, Los Angeles, CA 90011-3434 | 2020-08-19 |
| 1306455787 | All Health Medical Group, Inc | Internal Medicine | 1300 N Vermont Ave Ste 1008, Los Angeles, CA 90027-6096 | 2020-07-30 |
| 1912533985 | Milgrom Medical Inc. | Internal Medicine | 1555 Vine St Apt 433s, Los Angeles, CA 90028-5298 | 2020-03-20 |
| 1316582059 | Sera Ramadan, D.o., Inc | Internal Medicine | 1245 Wilshire Blvd Ste 812, Los Angeles, CA 90017-4808 | 2019-11-15 |
| 1154971018 | Del Refugio Healthcare Inc | Internal Medicine | 4800 S Central Ave Ste B, Los Angeles, CA 90011-5459 | 2019-09-12 |
| 1851957245 | Aviva Iofel, M.d., Inc. | Internal Medicine | 6234 Fountain Ave Unit B, Los Angeles, CA 90028-8214 | 2019-05-12 |
| 1588120539 | Netzah Health Corp | Internal Medicine | 866 N Vermont Ave Ste 2, Los Angeles, CA 90029-3587 | 2019-02-14 |
| 1306310495 | Baltimo Medical Center Inc | Internal Medicine | 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010-2905 | 2019-01-11 |
| 1528531316 | Dauna Marie Health Care Inc | Internal Medicine | 3755 Beverly Blvd Apt 303, Los Angeles, CA 90004-3540 | 2019-01-04 |
| 1710458005 | Equality Health Network PC | Internal Medicine | 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 | 2018-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
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| 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.