TYRA MOODY (NPI# 1659672756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659672756 |
| Entity Type | Individual |
| Full Name | TYRA MOODY |
| Practice Address |
2500 Wilshire Blvd Ste. #500 Los Angeles CA 90057-4303 |
| Mailing Address |
1308 Deneve Lane Apt. #58 Los Angeles CA 90033 |
| Practice Telephone | 2136392665 |
| Mailing Telephone | 3236747464 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2011-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2500 WILSHIRE BLVD STE. #500 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689651739 | Home Health Care Agency, Inc. | Home Health | 2500 Wilshire Blvd, Suite 1230, Los Angeles, CA 90057-4303 | 2005-12-29 |
| 1760977250 | Cynthia J Villacres | Counselor | 2500 Wilshire Blvd, Los Angeles, CA 90057 | 2018-06-27 |
| 1699215277 | Ricardo Larrain | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057 | 2017-03-02 |
| 1407209240 | Jasmone Sabrina Riggins | Case Manager/Care Coordinator | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2016-07-17 |
| 1376993261 | Saul Alejandro Vazquez | Licensed Psychiatric Technician | 2500 Wilshire Blvd, 5th Fl, Los Angeles, CA 90057-4303 | 2016-06-21 |
| 1760856397 | Henry Chhuon | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-11-19 |
| 1770956120 | Dimitrios Pexaras | Counselor | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-11-06 |
| 1467824797 | Alyssa A Dotson | Licensed Psychiatric Technician | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-10-26 |
| 1316322480 | Ambika Chandramohan | Counselor | 2500 Wilshire Blvd, Suite 500, Los Angeles, CA 90057-4303 | 2015-07-29 |
| 1316321821 | Briuana Jennet Clady | Student in an Organized Health Care Education/Training Program | 2500 Wilshire Blvd, Los Angeles, CA 90057-4303 | 2015-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1063046795 | Leanne Margaret Cremin | Rehabilitation Practitioner | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
| 1720610421 | Ronmoe Inc | Rehabilitation Practitioner | 2025 Westwood Blvd, Los Angeles, CA 90025-6328 | 2020-02-10 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1114445848 | Claudia Melgar | Rehabilitation Practitioner | 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 | 2017-09-01 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1356893796 | Rosemary Marroquin | Rehabilitation Practitioner | 511 N Harvard Blvd, Los Angeles, CA 90004-1906 | 2016-11-02 |
| 1902356520 | Aida Kimberly Escobar | Rehabilitation Practitioner | 2715 E 5th St, Los Angeles, CA 90033-4422 | 2016-10-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on TYRA MOODY.
| 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.