TEAM MAKENA LLC (NPI# 1558896407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558896407 |
| Entity Type | Organization |
| Organization Name | TEAM MAKENA LLC |
| Other Organization Name | RESTORE MOTION |
| Practice Address |
6801 Park Terrace Drive 110 Los Angeles CA 90045-1544 |
| Mailing Address |
27051 Towne Centre Dr Ste 180 Foothill Ranch CA 92610-2819 |
| Practice Telephone | 9494741753 |
| Practice Fax Number | 9492515120 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2018-03-15 |
| Authorized Official Name | ERNESTINA SMITH (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 9493823919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 56330 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Restore Motion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003341959 | Team Makena LLC | Prosthetic/Orthotic Supplier | 3702 E Roeser Rd, 4, Phoenix, AZ 85040-9046 | 2017-04-28 |
| 1548457278 | Team Makena LLC | Durable Medical Equipment & Medical Supplies | 27051 Towne Centre Dr Ste 180, Foothill Ranch, CA 92610-2819 | 2007-09-26 |
| 1255842092 | Team Makena LLC | Prosthetic/Orthotic Supplier | 500 Ala Moana Blvd Ste 400, Honolulu, HI 96813-4920 | 2017-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Team Makena LLC | 17461 Derian Ave Ste 200, Irvine, CA 92614 |
| Street Address |
6801 PARK TERRACE DRIVE 110 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417925462 | Kenneth S. Jung II | Orthopaedic Surgery | 6801 Park Terrace Drive, Los Angeles, CA 90045 | 2006-03-08 |
| 1255887493 | Adam Finck | Physical Therapist | 6801 Park Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2016-08-28 |
| 1285039677 | Marie Fajardo | Physical Therapist | 6801 Park Terrace Drive, Los Angeles, CA 90045 | 2014-10-28 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| 1598376790 | Supercare Depot Inc | Durable Medical Equipment & Medical Supplies | 11901 Santa Monica Blvd Ste 470, Los Angeles, CA 90025-2767 | 2020-08-11 |
| 1568089548 | Dmg Wellness Inc. | Durable Medical Equipment & Medical Supplies | 2651 Nevin Ave, Los Angeles, CA 90011-2242 | 2020-06-25 |
| 1467073098 | Revive Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 232 E 2nd St Apt 752, Los Angeles, CA 90012-4539 | 2020-05-05 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1386276400 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 8900 S Sepulveda Blvd, Los Angeles, CA 90045-3604 | 2020-02-06 |
| 1366074676 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 415 S La Brea Ave, Los Angeles, CA 90036-3523 | 2020-02-05 |
| 1689214744 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 N Broadway # B101, Los Angeles, CA 90012-4700 | 2020-01-07 |
| 1548816291 | Cath Dry, Inc. | Durable Medical Equipment & Medical Supplies | 1243 N Hoover St, Los Angeles, CA 90029-2009 | 2019-08-16 |
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on TEAM MAKENA LLC.
| 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.