CHRISTOPHER TATUM


Address: 637 S Lucas Ave, Fl 1, Los Angeles, CA 90017
Phone: 3109772280

CHRISTOPHER TATUM (NPI# 1699948596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699948596
Entity Type Individual
Full Name CHRISTOPHER TATUM
Credential PAC
Practice Address 637 S Lucas Ave
Fl 1
Los Angeles
CA 90017
Practice Telephone 3109772280
Mailing Telephone 3109772280
Enumeration Date 2008-04-11
Last Update Date 2008-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA14961 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHRISTOPHER TATUM

NPI Name Taxonomy Address Enumeration
1063908853 Christopher Tatum Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2018-07-05
1710140199 Christopher Tyrone Tatum Counselor 1801 Vicente St, San Francisco, CA 94116-2923 2008-07-07

Office Location

Street Address 637 S LUCAS AVE
FL 1
City LOS ANGELES
State CA
Zip Code 90017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548422371 University Neuromuscular Center Psychiatry & Neurology 637 S Lucas Ave, 3rd Floor, Los Angeles, CA 90017-1912 2008-07-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833617 Guadalupe Vallejo Licensed Vocational Nurse 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 2020-08-25
1376181768 Nirlok Corporation Optometrist 750 West 7th Street, Los Angeles, CA 90017 2019-12-16
1689228223 Marycarmen Beltran Student in an Organized Health Care Education/Training Program 333 S. Beaudry Ave., Los Angeles, CA 90017 2019-08-01
1639661465 Robin B Horowitz Counselor 333 South Beaudry Avenue, Los Angeles, CA 90017 2018-06-06
1710483797 Rose Jadidian Pharmacist 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 2018-03-30
1417469875 Marykarla Gallegos Case Manager/Care Coordinator 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 2017-10-25
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1932638202 Butterfli Technologies Inc Transportation Broker 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 2017-06-08
1316493125 Phamily Love Foundation Community/Behavioral Health 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 2016-08-31
1215392188 Jessica R. Garcia-hillard Specialist/Technologist 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 2015-12-21
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023390606 Emily Elizabeth Talmich Physician Assistant 1450 San Pablo St # 6200, Los Angeles, CA 90033-5331 2011-09-09
1891089892 Claudia G Pierola Physician Assistant 12311 Pacific Ave Apt 5, Los Angeles, CA 90066-4421 2011-06-07
1124280987 Sue Kim Physician Assistant 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 2008-07-01
1194848457 Sebastian Fuentes Physician Assistant 2200 W 3rd St Ste 300, Los Angeles, CA 90057-1936 2007-04-09
1245396092 Patricia Delcarmen Jimenez Physician Assistant 1718 Hollyvista Ave, Los Angeles, CA 90027-4626 2006-12-28
1063078897 Laura Monica Manosalva Vargas Physician Assistant 11301 Wilshire Blvd, Bldg.500, Nsgy Suite 6664, Los Angeles, CA 90073 2019-05-16
1548736903 Jocelyn Choy Physician Assistant 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 2018-10-23
1457839649 Kareem Sharaf Physician Assistant 757 Westwood Plz, Los Angeles, CA 90095-8358 2018-07-31
1689166787 Lennie Thanh Ho Ngo Physician Assistant 1225 Wilshire Blvd, Los Angeles, CA 90017 2018-06-04
1386136513 Jie Zhuang Kwok Physician Assistant 1505 N Edgemont St Fl 4, Los Angeles, CA 90027 2018-06-04
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Competitor

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City LOS ANGELES
Zip Code 90017

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Dataset Information

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.

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