DR. LARISSA V. RODRIGUEZ (NPI# 1497774210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497774210 |
| Entity Type | Individual |
| Full Name | DR. LARISSA V. RODRIGUEZ |
| Credential | MD |
| Practice Address |
1516 San Pablo St Fl 5 Los Angeles CA 90033-5313 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 3238653700 |
| Mailing Telephone | 3238653700 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | A54911 | CA | Allopathic & Osteopathic Physicians |
| Y | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
A54911 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9033 Wilshire Blvd Ste 360, Beverly Hills, CA 902111846 | 3106012166 | |
| 10833 Le Conte Ave, Los Angeles, CA 900953075 | 3107947700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639933 | Larissa Laso Rodriguez | Nurse Practitioner | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2019-09-28 |
| Street Address |
1516 SAN PABLO ST FL 5 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263932 | Richard Preciado | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2005-05-23 |
| 1215563796 | Robin S. Hong | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2020-03-17 |
| 1619501194 | Joyce Kim | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2020-02-24 |
| 1851944862 | Sharon Nazanin Dann | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2019-07-18 |
| 1003388232 | Sean Jin Hyuk Lee | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033 | 2018-12-28 |
| 1932699667 | Cesar Oropeza Romero | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033 | 2018-05-17 |
| 1760981948 | Angela Hsu | Physician Assistant | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2018-02-02 |
| 1598280307 | Elizabeth Helen Ephraim | Urology | 1516 San Pablo St Fl 5, Los Angeles, CA 90033 | 2017-08-14 |
| 1295107456 | Shilo Rosenberg | Urology | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2015-10-28 |
| 1780050955 | Rene Javier Sotelo | Urology | 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | 2015-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 2088F0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538435276 | Michelle Elizabeth Van Kuiken | Urology | 200 Medical Plaza Dr Suite 140, Los Angeles, CA 90095-3328 | 2012-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932742855 | Brittany Elaine Jones | Urology | 1425 Magnolia Ave, Chico, CA 95926-3226 | 2019-10-23 |
| 1275191082 | Enneagon Health, Apc | Urology | 12922 Victory Blvd, North Hollywood, CA 91606-2924 | 2019-06-05 |
| 1720520141 | Women's Center for Urogynecology & Robotic Surgery Inc | Urology | 520 Superior Ave Ste 200, Newport Beach, CA 92663-3642 | 2016-11-16 |
| 1609249408 | Regents of The University of California | Urology | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1135 | 2015-11-03 |
| 1427446012 | California Center for Pelvic Floor Disorders Inc | Urology | 450 N Roxbury Dr, Suite 500, Beverly Hills, CA 90210-4231 | 2015-01-05 |
| 1679801229 | Matthew Houston Clark Md Inc | Urology | 520 Superior Ave, Suite 225, Newport Beach, CA 92663-3637 | 2009-11-19 |
| 1154555340 | Seshadri Kasturi | Urology | 2801 K St, Suite 200, Sacramento, CA 95816-5120 | 2009-05-04 |
| 1053577478 | Diana C Kang | Urology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2008-08-05 |
| 1225055205 | Andrew Brill | Urology | 3700 California St, Ground Floor, San Francisco, CA 94118-1618 | 2006-07-16 |
| 1528001617 | Larry W Bowen | Urology | 2801 K St, Suite 200, Sacramento, CA 95816-5120 | 2006-06-14 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on DR. LARISSA V. RODRIGUEZ.
| 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.