LAUREN MIRABELLI (NPI# 1548711781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548711781 |
| Entity Type | Individual |
| Full Name | LAUREN MIRABELLI |
| Practice Address |
9601 S Sepulveda Blvd Los Angeles CA 90045-5203 |
| Mailing Address |
716 N Kilkea Dr Los Angeles CA 90046-7006 |
| Practice Telephone | 3102156020 |
| Mailing Telephone | 6094892422 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53862 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9601 S SEPULVEDA BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235116039 | Jovana Balkis | Physician Assistant | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2005-12-22 |
| 1033416656 | Reliant Medical Management Inc | Emergency Medicine | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2011-02-16 |
| 1174828925 | Reliant Medical Management Inc | Non-Pharmacy Dispensing Site | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2011-01-25 |
| 1194028647 | Gs Medical Center Inc | Pain Medicine | 9601 S Sepulveda Blvd, Ste B, Los Angeles, CA 90045-5203 | 2010-12-06 |
| 1942515465 | Gs Medical Center Inc | Non-Pharmacy Dispensing Site | 9601 S Sepulveda Blvd, Ste B, Los Angeles, CA 90045-5203 | 2010-08-09 |
| 1114125846 | Marc E Arnush | Preventive Medicine | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2007-07-03 |
| 1861610008 | Marc L Dash | Preventive Medicine | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2007-04-23 |
| 1245276823 | Robert Hugh Shapiro | Internal Medicine | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2006-06-21 |
| 1801838198 | Reliant Immediate Care Medical Group, Inc. | Emergency Medicine | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2006-06-12 |
| 1104868660 | Max Franklin Lebow | Emergency Medicine | 9601 S Sepulveda Blvd, Los Angeles, CA 90045-5203 | 2006-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929644 | Tatum Little | Physician Assistant | 3307 W 79th St, Los Angeles, CA 90043-5249 | 2020-10-15 |
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1235737172 | Jennifer Rae Levitt Physician Assistant, Inc | Physician Assistant | 1439 N Highland Ave Ste 1059, Los Angeles, CA 90028-7622 | 2020-10-13 |
| 1174120943 | Melody Fatehi | Physician Assistant | 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 | 2020-10-05 |
| 1467063826 | Hannah Shannon Rihani | Physician Assistant | 1737 Midvale Ave, Los Angeles, CA 90024-5512 | 2020-08-11 |
| 1356969901 | Emily Rachel Lavi | Physician Assistant | 1132 S Holt Ave Apt 7, Los Angeles, CA 90035-2424 | 2020-07-09 |
| 1083242952 | Julia Andrea Hurtado | Physician Assistant | 3783 Cimarron St, Los Angeles, CA 90018-4463 | 2020-03-27 |
| 1174150130 | Susan C. Williams | Physician Assistant | 2215 Alcazar St, Los Angeles, CA 90033-1003 | 2020-03-26 |
| 1720615776 | Shannon Hakakeyan | Physician Assistant | 1580 Manning Ave Apt 303, Los Angeles, CA 90024-6086 | 2020-03-26 |
| 1952938243 | Jayanti Sharma | Physician Assistant | 1515 Amherst Ave Apt 303, Los Angeles, CA 90025-3677 | 2020-03-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.