MARISA JANTZEN (NPI# 1639299217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639299217 |
| Entity Type | Individual |
| Full Name | MARISA JANTZEN |
| Practice Address |
16129 Prairie Ave Lawndale CA 90260-2759 |
| Mailing Address |
1904 S Robertson Blvd #6 Los Angeles CA 90034-1129 |
| Practice Telephone | 3105424825 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
16129 PRAIRIE AVE |
| City | LAWNDALE |
| State | CA |
| Zip Code | 90260-2759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285760074 | Transitional Living Centers for Los Angeles County, Inc. | Case Management | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2007-02-26 |
| 1417111618 | Lisa Harris | Counselor | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2008-07-16 |
| 1972779726 | Iman Dan | Counselor | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2008-05-01 |
| 1114193968 | Lenny Miller | Counselor | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2008-05-01 |
| 1134249717 | Denise Alvarado | Counselor | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050441 | Medical Legal Experts Mle | Specialist/Technologist, Other | 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 | 2019-12-16 |
| 1730659392 | Spine Pro Tardaguila Chiropractic and Pt Rehab Corp | Chiropractor | 15901 Hawthorne Blvd. 160, Lawndale, CA 90260 | 2018-11-27 |
| 1356810758 | Jason H. Ta, Dmd, Inc. | Dentist | 16709 Hawthorne Blvd., Lawndale, CA 90260 | 2018-11-15 |
| 1437631868 | Careplus Palliative Inc. | Hospice Care, Community Based | 14708 Hawthorne Blvd Suite 8, Lawndale, CA 90260 | 2018-09-01 |
| 1083072664 | Joann Kim Ha Tran | Dentist | 15655 Hawthorne Blvd Ste A, Lawndale, CA 90260 | 2016-02-10 |
| 1598134785 | Stephanie Galang | Specialist/Technologist | 15413 Cranbrook Ave., Lawndale, CA 90260 | 2015-09-18 |
| 1275929804 | Healthy Heart Home Care | Home Health | 15901 Hawthorne Bl, Ste. 410, Lawndale, CA 90260 | 2015-04-10 |
| 1699190496 | Stephanie Ann Cross | Chiropractor | 14623 Hawthorne Blvd Ste 207, Lawndale, CA 90260 | 2014-03-03 |
| 1659681773 | Sorour Dmd PC | Dentist | 14979 Praire Ave, Lawndale, CA 90260 | 2010-10-08 |
| 1669625430 | Safety Works Medical, Inc | Chiropractor | 14623 Hawthorne Blvd., Suite 207, Lawndale, CA 90260 | 2008-10-24 |
| Find all providers in zip 90260 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619427119 | Roshanda Roberts | Counselor | 15710 Grevillea Ave, Lawndale, CA 90260-2026 | 2016-10-07 |
| 1972837136 | Judy Muro | Counselor | 14623 Hawthorne Blvd # 400, Lawndale, CA 90260-1581 | 2009-09-21 |
| 1851943906 | Jessica Taylor Vara | Counselor | 14717 Hawthorne Blvd Ste C, Lawndale, CA 90260-1580 | 2019-07-09 |
| 1689185985 | Jacqueline Valdovinos | Counselor | 14717 Hawthorne Blvd Ste C, Lawndale, CA 90260-1580 | 2017-10-13 |
| 1518278811 | Elida Fuentes | Counselor | 14623 Hawthorne Blvd Ste 400, Lawndale, CA 90260-1581 | 2010-07-01 |
| 1417111618 | Lisa Harris | Counselor | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2008-07-16 |
| 1306007661 | Delia Sanchez | Counselor | 14623 Hawthorne Blvd, Suite 400, Lawndale, CA 90260-1581 | 2008-06-19 |
| 1407022262 | Ron Hanafusa | Counselor | 16119 Prairie Ave, Lawndale, CA 90260-2744 | 2008-05-01 |
| 1194991950 | Lat Bun | Counselor | 16119 Prairie Ave, Lawndale, CA 90260-2744 | 2008-05-01 |
| 1972779726 | Iman Dan | Counselor | 16129 Prairie Ave, Lawndale, CA 90260-2759 | 2008-05-01 |
| Find all providers in LAWNDALE | ||||
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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.