MR. SUBRAMANIAM BALASUBRAMANIAM (NPI# 1508936568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508936568 |
| Entity Type | Individual |
| Full Name | MR. SUBRAMANIAM BALASUBRAMANIAM |
| Credential | MD |
| Practice Address |
12021 S Wilmington Ave Mlk Hospital Los Angeles CA 90059-3019 |
| Mailing Address |
12021 S. Wilmington Ave Mlk Hospital Medial Administration Los Angeles CA 90059-3019 |
| Practice Telephone | 3106683296 |
| Mailing Telephone | 3106683296 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A32668 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12021 S WILMINGTON AVE MLK HOSPITAL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255732962 | Exodus Foundation | Community/Behavioral Health | 12021 S Wilmington Ave, 2nd Floor Ic1-ic7, Los Angeles, CA 90059-3019 | 2014-09-12 |
| 1366870941 | Exodus Foundation for Recovery | Community/Behavioral Health | 12021 S Wilmington Ave, Los Angeles, CA 90059-3019 | 2013-10-17 |
| 1245487016 | Diana Cano | Physician Assistant | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2008-08-25 |
| 1750538914 | Deborah Christian | Physician Assistant | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2008-08-19 |
| 1528280419 | Marlon Butler | Physician Assistant | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2007-05-02 |
| 1235351107 | Marta L Hernandez | Obstetrics & Gynecology | 12021 S Wilmington Ave, Los Angeles, CA 90059 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720097 | Sergey Lyass Md Surgical | Surgery | 8631 W 3rd St # S900e, Los Angeles, CA 90048-5901 | 2019-09-26 |
| 1104317262 | Ryan Alexander Smith | Surgery | 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 | 2018-05-24 |
| 1699215327 | La Surgical Specialists | Surgery | 450 N Greencraig Rd, Los Angeles, CA 90049-2840 | 2017-02-28 |
| 1245681543 | Cina Surgery | Surgery | 3756 Santa Rosalia Dr Ste C100, Los Angeles, CA 90008-3606 | 2016-06-28 |
| 1548622194 | Blair Smart | Surgery | Usc General Surgery Residency Program, 1520 San Pablo Street, Los Angeles, CA 90033-5330 | 2016-03-23 |
| 1053783258 | Michael F. Sedrak, M.d., A Medical Corporation | Surgery | 10336 Wilshire Blvd Apt 602, Los Angeles, CA 90024-4754 | 2015-10-27 |
| 1558737312 | Gene Kyu Lee | Surgery | 1520 San Pablo Street, Hct 4300, Los Angeles, CA 90033 | 2015-08-17 |
| 1851779052 | Michael Fenlon | Surgery | 1520 San Pablo St # 3400, Los Angeles, CA 90033-5310 | 2015-05-08 |
| 1588062566 | Moon Ip | Surgery | 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902 | 2014-12-08 |
| 1629488416 | Cassra Nouri Arbabi | Surgery | 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048 | 2014-05-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on MR. SUBRAMANIAM BALASUBRAMANIAM.
| 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.