CALIGENIX PC (NPI# 1588021158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588021158 |
| Entity Type | Organization |
| Organization Name | CALIGENIX PC |
| Practice Address |
11611 San Vicente Blvd Ste L1 Los Angeles CA 90049-5106 |
| Practice Telephone | 3102733888 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | DR. AUNNA POURANG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4242659355 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A133046 | CA | Ambulatory Health Care Facilities |
| Street Address |
11611 SAN VICENTE BLVD STE L1 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568572618 | Maurice Darvish | Specialist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2006-08-30 |
| 1386267896 | Tawney Freeman | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2020-05-19 |
| 1497399109 | Corey Lin | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2019-11-05 |
| 1316417363 | Tony C Dang | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2018-12-03 |
| 1861920258 | Haley O'neel Cutting | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2017-05-30 |
| 1831553734 | Guita Cohen | Chiropractor | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2016-04-07 |
| 1912368358 | Bvm Therapy Inc. | Clinic/Center | 11611 San Vicente Blvd, #gf1, Los Angeles, CA 90049-5106 | 2016-03-13 |
| 1811370349 | Azita Zavari | Dental Hygienist | 11611 San Vicente Blvd, Suite L-1, Los Angeles, CA 90049 | 2015-07-01 |
| 1003238346 | Vision To Learn | Optometrist | 11611 San Vicente Blvd, Suite 500, Los Angeles, CA 90049-5106 | 2014-01-06 |
| 1265726665 | Ashley Winter Greer | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2011-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468507 | County of Los Angeles | Clinic/Center | 242 E 6th St, Los Angeles, CA 90014-2117 | 2020-08-19 |
| 1790308005 | Korean Health, Education, Information and Research Center | Clinic/Center | 621 S Virgil Ave Ste 401, Los Angeles, CA 90005-4040 | 2020-05-20 |
| 1598398539 | Eduard Dudukgian M.d., A Professional Co | Clinic/Center | 1300 N Vermont Ave Ste 601, Los Angeles, CA 90027-6088 | 2020-02-18 |
| 1225599178 | The Los Angeles Lgbt Center | Clinic/Center | 3055 Wilshire Blvd Ste 360, Los Angeles, CA 90010-1108 | 2019-03-25 |
| 1144791500 | Beverly Community Clinic | Clinic/Center | 2252 Beverly Blvd Ste 103, Los Angeles, CA 90057-2225 | 2018-12-11 |
| 1306320619 | Beverly Ob & Gyn Medical Center Inc. | Clinic/Center | 4620 Beverly Blvd Ste 101, Los Angeles, CA 90004-3102 | 2018-09-21 |
| 1376036178 | Rolando S. Mercader M.d. Inc. | Clinic/Center | 201 S Alvarado St Ste 600, Los Angeles, CA 90057-2386 | 2018-06-07 |
| 1669909958 | David Rekar Md, Inc | Clinic/Center | 866 N Vermont Ave Ste 3a, Los Angeles, CA 90029-3587 | 2017-05-17 |
| 1639604895 | Family Health Clinic Inc. | Clinic/Center | 133 S Vermont Ave, Los Angeles, CA 90004-5904 | 2017-04-25 |
| 1447618541 | Pc Medical Group Inc | Clinic/Center | 3663 W 6th St Ste 100, Los Angeles, CA 90020-3047 | 2016-02-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on CALIGENIX PC.
| 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.