PEONY PAK (NPI# 1659735074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659735074 |
| Entity Type | Individual |
| Full Name | PEONY PAK |
| Practice Address |
100 Ucla Medical Plaza Suite 425 Los Angeles CA 90095-2903 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107941195 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A153936 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 City Blvd W, Suite 400, Orange, CA 928682903 | 7144566693 |
| Street Address |
100 UCLA MEDICAL PLAZA SUITE 425 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1427604065 | Hkla Neuropain | Psychiatry & Neurology | 2204 S Bentley Ave Apt 104, Los Angeles, CA 90064-5501 | 2019-08-09 |
| 1851867253 | Eskenazi Neurological Institute | Psychiatry & Neurology | 1033 S Holt Ave Apt 1, Los Angeles, CA 90035-2034 | 2018-10-23 |
| 1629426630 | Ken Fujimura | Psychiatry & Neurology | 1100 N. State St., Cta4e, Los Angeles, CA 90033 | 2016-05-31 |
| 1972967982 | Anna O Koblik | Psychiatry & Neurology | 710 Westwood Plz # 1-190, Los Angeles, CA 90095-8353 | 2016-04-06 |
| 1699155150 | Kira Lauren Trunzo Dillard | Psychiatry & Neurology | 100 Ucla Medical Plz Ste 425, Los Angeles, CA 90024-6999 | 2015-05-31 |
| 1982099529 | Elif Guler Sozmen | Psychiatry & Neurology | 1624 Camden Ave, Apt 4, Los Angeles, CA 90025-3532 | 2015-03-31 |
| 1497140354 | Le Treice Keiyta Irving | Psychiatry & Neurology | 757 Westwood Plz Fl 6, Los Angeles, CA 90095-1005 | 2015-03-30 |
| 1578975637 | Tatjana Josic | Psychiatry & Neurology | 1200 N State St # C, Los Angeles, CA 90033-1029 | 2014-05-23 |
| 1891106076 | Antonio Moya | Psychiatry & Neurology | 1100 Glendon Ave Ste 900, Los Angeles, CA 90024-3513 | 2014-05-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on PEONY PAK.
| 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.