MRS. LYNNE SUSAN JOHN (NPI# 1528359643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528359643 |
Entity Type | Individual |
Full Name | MRS. LYNNE SUSAN JOHN |
Credential | OTR/L |
Practice Address |
130 W Victoria St Gardena CA 90248-3523 |
Mailing Address |
15906 Janine Dr Whittier CA 90603-1524 |
Practice Telephone | 3107152020 |
Mailing Telephone | 5625089637 |
Enumeration Date | 2011-04-23 |
Last Update Date | 2016-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
13791 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
130 W VICTORIA ST |
City | GARDENA |
State | CA |
Zip Code | 90248-3523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619055175 | Ellinor Nepomuceno Soriano | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2006-11-01 |
1427597731 | Gladis Rendon | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2017-02-20 |
1982080016 | Ivette Nava | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2015-07-30 |
1437555752 | Rosalinda Erazo | Counselor | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-11-13 |
1588060081 | Maria Borja | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-11-10 |
1114320173 | Guadalupe Solache | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-10-06 |
1225431539 | Taklai Li | Marriage & Family Therapist | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-09-30 |
1710301650 | Mireya Nohemy Romero | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-02-12 |
1437572872 | Vanessa Denisse Fernandez | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2014-01-21 |
1548690811 | Elizabeth Prado | Rehabilitation Practitioner | 130 W Victoria St, Gardena, CA 90248-3523 | 2013-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
Find all providers in zip 90248 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
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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.