DR. TYLER DEAN WAXMAN (NPI# 1497879720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497879720 |
| Entity Type | Individual |
| Full Name | DR. TYLER DEAN WAXMAN |
| Credential | PSY.D. |
| Practice Address |
5000 W Sunset Blvd Suite 540m Los Angeles CA 90027-5861 |
| Mailing Address |
Po Box 54700 Mailstop #2 Los Angeles CA 90054-0700 |
| Practice Telephone | 3236692153 |
| Practice Fax Number | 3239133614 |
| Mailing Telephone | 3236692153 |
| Mailing Fax Number | 3239133614 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 18571 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5000 W SUNSET BLVD SUITE 540M |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346353182 | Seda G Panossian | Specialist | 5000 W Sunset Blvd, 650, Los Angeles, CA 90027-5861 | 2006-08-16 |
| 1588165120 | Nerininfa Bernabe | Counselor | 5000 W Sunset Blvd, Los Angeles, CA 90027-5861 | 2018-02-27 |
| 1215480694 | Irene Lim | Social Worker | 5000 W Sunset Blvd, Suite 701, Los Angeles, CA 90027-5861 | 2016-08-02 |
| 1770950198 | Irene Song | Occupational Therapist | 5000 W Sunset Blvd, Suite 510, Los Angeles, CA 90027-5861 | 2015-09-02 |
| 1982080818 | Akilah Aisha Reynolds | Psychologist | 5000 W Sunset Blvd, Los Angeles, CA 90027-5861 | 2015-08-03 |
| 1538562863 | Smile Pediatric Therapy & Diagnostics | Clinic/Center | 5000 W Sunset Blvd, Suite 510, Los Angeles, CA 90027-5861 | 2014-10-01 |
| 1861895401 | Smile Pediatric Therapy and Diagnostics | Clinic/Center | 5000 W Sunset Blvd, Los Angeles, CA 90027-5861 | 2014-09-26 |
| 1760822167 | Holly Eiholzer | Speech-Language Pathologist | 5000 W Sunset Blvd, 510, Los Angeles, CA 90027-5861 | 2013-06-28 |
| 1073958096 | Traci Yuriko Murata | Speech-Language Pathologist | 5000 W Sunset Blvd, Suite 510, Los Angeles, CA 90027-5861 | 2013-05-03 |
| 1922441476 | Michelle Wei-jen Escovedo | Pediatrics | 5000 W Sunset Blvd, 4th Floor, Los Angeles, CA 90027-5861 | 2013-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
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| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on DR. TYLER DEAN WAXMAN.
| 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.