MELISSA ERIN PHUPHANICH (NPI# 1497252837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497252837 |
| Entity Type | Individual |
| Full Name | MELISSA ERIN PHUPHANICH |
| Credential | MD, MS |
| Practice Address |
11301 Wilshire Blvd # 117 Los Angeles CA 90073 |
| Mailing Address |
11301 Wilshire Blvd # 117 Los Angeles CA 90073-1003 |
| Practice Telephone | 3104783711 |
| Mailing Telephone | 3104783711 |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2019-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W Carson St, Torrance, CA 905022004 | 3102222700 |
| Street Address |
11301 WILSHIRE BLVD # 117 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316976509 | Agnes Soriano Wallbom | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd # 117, Glavahs Dept Pm&r, Los Angeles, CA 90073-1003 | 2006-07-01 |
| 1063994549 | Susana Santiago | Social Worker | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2018-08-31 |
| 1275022089 | Hardik Prabodh Parikh | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073 | 2018-05-07 |
| 1467983247 | Paige Lanese Cronn | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2017-03-23 |
| 1790915262 | David Arthur Benton | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2009-07-19 |
| 1922268960 | Deborah Lynn Cornwell | Occupational Therapist | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2008-06-12 |
| 1376752584 | West Los Angeles Va | Rehabilitation Hospital | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2007-05-22 |
| 1366569360 | Sumie Kumagai | Occupational Therapist | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2007-03-23 |
| 1326125618 | Berthel Powell | Kinesiotherapist | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2006-11-01 |
| 1457447708 | Shana Schuller Friedman | Occupational Therapist | 11301 Wilshire Blvd # 117, Los Angeles, CA 90073-1003 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
| 1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
| 1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
| 1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
| 1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
| 1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
| 1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
| 1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
| 1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
| Find all providers in zip 90073 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90073 |
Please comment or provide details below to improve the information on MELISSA ERIN PHUPHANICH.
| 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.