DR. AMBER VERDELL (NPI# 1568986677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568986677 |
Entity Type | Individual |
Full Name | DR. AMBER VERDELL |
Credential | PHARMD |
Practice Address |
590 N Vermont Ave Los Angeles CA 90004-2115 |
Practice Telephone | 3234259939 |
Practice Fax Number | 5209891139 |
Enumeration Date | 2017-07-31 |
Last Update Date | 2020-06-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 73927 | CA | Pharmacy Service Providers |
N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
73927 | CA | Pharmacy Service Providers |
N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
73927 | CA | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
APH10011 | CA | Pharmacy Service Providers |
Street Address |
590 N VERMONT AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90004-2115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
1750905337 | Diem Thai | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2020-05-30 |
1689146748 | Niki Arab | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004 | 2018-12-29 |
1265948129 | Richard D'assalenaux | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2017-12-14 |
1538522057 | Marina Dykhne | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2016-04-01 |
1770808842 | Felix Lee | Chiropractor | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2010-04-01 |
1104001197 | Mitchell David Carter | Chiropractor | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2008-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225504160 | Jessica M. Louie | Pharmacist | 590 North Vermont Avenue, Suite 334, Los Angeles, CA 90004 | 2018-10-18 |
1033615828 | Javier G Ibarra | Counselor | 3910 Oakwood Ave., Los Angeles, CA 90004 | 2018-04-02 |
1558804351 | Bhc Alhamba Hospital | Psychiatric Residential Treatment Facility | 115 N. Mccadden Place, Los Angeles, CA 90004 | 2016-11-28 |
1275907719 | Rozalin Banafsheian | Psychologist | 522 N. Larchmont, Los Angeles, CA 90004 | 2015-11-20 |
1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
1760888226 | Hardy Ophuls | Marriage & Family Therapist | 439 N. Larchmont Bl., Los Angeles, CA 90004 | 2014-11-11 |
1528462991 | Latrice Nicole Hardison | Licensed Vocational Nurse | 225 N. Mariposa Ave, Los Angeles, CA 90004 | 2014-10-14 |
1215331947 | Shonn Bunn | Rehabilitation Practitioner | 433 N. Hoover, Los Angeles, CA 90004 | 2014-10-09 |
1609296581 | Michael Armen Kezian | Dentist | 581 N Larchmont Blvd, Los Angeles, CA 90004 | 2014-04-18 |
1427485549 | Kir Medical Group | Family Medicine | 123 177th Street, Los Angeles, CA 90004 | 2013-10-03 |
Find all providers in zip 90004 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104304765 | Alexander J Kellogg | Pharmacist | 236 S Los Angeles St Apt 334b, Los Angeles, CA 90012-3780 | 2018-08-04 |
1528564697 | Bonnie Lee | Pharmacist | 4640 Richelieu Ter, Los Angeles, CA 90032-3245 | 2018-04-05 |
1205347150 | Mee Kyoung Kim | Pharmacist | 3511 W Olympic Blvd Ste 102, Los Angeles, CA 90019-3563 | 2017-10-18 |
1922533231 | Edward Jai | Pharmacist | 550 S Vermont Ave Ste 903, Los Angeles, CA 90020-1912 | 2017-04-24 |
1346601036 | Jarrin Kean Cheng | Pharmacist | 4755 Templeton St Apt 2122, Los Angeles, CA 90032-2146 | 2016-03-09 |
1457745820 | Stephanie Mok | Pharmacist | 1100 N State St Rm 1b311, Los Angeles, CA 90033-5000 | 2015-03-24 |
1558655480 | Peyman Kharazi | Pharmacist | 1921 Glendon Ave, Apt 301, Los Angeles, CA 90025-4696 | 2011-06-08 |
1538489133 | Ng Patricia Lin | Pharmacist | 245 South Fetterly Avenue, Los Angeles, CA 90022 | 2010-06-04 |
1366772816 | Maria Kootsikas | Pharmacist | 1502 S. Crescent Heights Boulevard, Los Angeles, CA 90035-3816 | 2010-01-06 |
1912131210 | Dwight J Song | Pharmacist | 2018 Griffith Park Blvd, Apt #. 124, Los Angeles, CA 90039-3563 | 2009-05-14 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90004 |
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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.