MS. CINDY JEAN HERCEG (NPI# 1558889717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558889717 |
| Entity Type | Individual |
| Full Name | MS. CINDY JEAN HERCEG |
| Practice Address |
1720 E 120th St Los Angeles CA 90059-3052 |
| Practice Telephone | (424) 338-2426 |
| Mailing Telephone | 4243382426 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1720 E 120TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487687018 | Los Angeles County Department of Mental Health | Clinic/Center | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2006-07-08 |
| 1750991576 | Imani White | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-08-06 |
| 1770192494 | Caitlyn Schallmann | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-07-28 |
| 1053920330 | Laura Roggenbaum | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-07-23 |
| 1467078642 | Melissa Mares | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-06-23 |
| 1376169557 | Bretlyn Owens | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-06-23 |
| 1912544503 | Elizabeth Estefania Mendez | Case Manager/Care Coordinator | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-12-03 |
| 1942854153 | Allana Gabrielle Robinson | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-07-25 |
| 1821558198 | Stephanie Joyce Washington | Counselor | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-03-22 |
| 1881168383 | Natalie R Escalante | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-01-17 |
| Find all providers in the same location | ||||
| 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 | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1558444745 | Sether M. Hills | Recreation Therapist | 11301 Wilshire Blvd # 117r, Los Angeles, CA 90073-1003 | 2006-10-23 |
| 1609339399 | Don Quy Le | Recreation Therapist | 947 Cole Ave, Los Angeles, CA 90038-2610 | 2019-04-09 |
| 1881106458 | Sharon Mccohn | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-11-03 |
| 1154833614 | Victoria Slater | Recreation Therapist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2017-10-24 |
| 1144732603 | Lorena Correa Villa | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-10-24 |
| 1386162824 | Maureen Gates | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-09-05 |
| 1932627478 | Willy Huang | Recreation Therapist | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2017-09-05 |
| 1033637939 | Jeanne Elaine Sather | Recreation Therapist | 1200 N State St, Los Angeles, CA 90033-1029 | 2017-08-31 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on MS. CINDY JEAN HERCEG.
| 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.