JACQUELINE NOELLE MUNOZ GEOGHEGAN (NPI# 1548876279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548876279 |
| Entity Type | Individual |
| Full Name | JACQUELINE NOELLE MUNOZ GEOGHEGAN |
| Practice Address |
3787 S Vermont Ave Los Angeles CA 90007-4203 |
| Mailing Address |
3031 S Vermont Ave Los Angeles CA 90007-3033 |
| Practice Telephone | 2133322232 |
| Mailing Telephone | 3233732400 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3787 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033244652 | Jose Francisco Retana IIi | Social Worker | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2007-02-22 |
| 1215534177 | Celeste Covarrubias-macias | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-10-05 |
| 1609480698 | Annette Bermejo | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-09-07 |
| 1205446408 | Shannon Martha | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-08-04 |
| 1053948414 | Emily Mesta | Case Manager/Care Coordinator | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-03-25 |
| 1316570997 | Mara Lopez | Counselor | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-02-21 |
| 1568002574 | Julia Maleky | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-01-08 |
| 1851931885 | Maria Veronica Berbeo | Marriage & Family Therapist | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2020-01-07 |
| 1740826213 | Kemberlyn Dayanae Acevedo | Rehabilitation Practitioner | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2019-11-20 |
| 1710522727 | Maria Fernanda Godinez | Rehabilitation Practitioner | 3787 S Vermont Ave, Los Angeles, CA 90007-4203 | 2019-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 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 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
Please comment or provide details below to improve the information on JACQUELINE NOELLE MUNOZ GEOGHEGAN.
| 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.