LA CLINIC OF MEDICINE GENETICS AND PREVENTIVE CARE (NPI# 1750470134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750470134 |
| Entity Type | Organization |
| Organization Name | LA CLINIC OF MEDICINE GENETICS AND PREVENTIVE CARE |
| Practice Address |
369 N Fairfax Ave Ste 2 Los Angeles CA 90036-2175 |
| Mailing Address |
647 N Harper Ave Los Angeles CA 90048-2224 |
| Practice Telephone | 3236552799 |
| Practice Fax Number | 3236550556 |
| Mailing Telephone | 3236552799 |
| Mailing Fax Number | 3236550556 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | YELENA SILVANSKAYA (OWNER) |
| Authorized Official Telephone | 3236552799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A70174 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A701740 | 05 |
| Street Address |
369 N FAIRFAX AVE STE 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061863 | Karen L. Herbst, Md, PC | Internal Medicine | 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 | 2020-04-14 |
| 1245626712 | Kyrstin Lynnice Lane | Internal Medicine | 700 W 7th St Ste S-270d, Los Angeles, CA 90017-3768 | 2015-04-12 |
| 1982907010 | Carol B Teutsch | Internal Medicine | 841 Moon Ave, Los Angeles, CA 90065-4143 | 2010-12-12 |
| 1851694079 | Harry Weisman, M.d., F.a.c.p. | Internal Medicine | 100 Ucla Medical Plz Ste 220, Los Angeles, CA 90024-7004 | 2010-12-09 |
| 1851624878 | Medical and Behavioral Consultants, Inc | Internal Medicine | 415 Gayley Ave, Apt #304, Los Angeles, CA 90024-2008 | 2009-09-09 |
| 1437380789 | Sina Tebi | Internal Medicine | 10519 Tennessee Ave, Los Angeles, CA 90064-2327 | 2009-08-04 |
| 1497914550 | Ines Donangelo | Internal Medicine | 200 Medical Plaza #530, Los Angeles, CA 90095-5442 | 2008-06-04 |
| 1407078215 | Nissar Shah | Internal Medicine | 3265 S. Sepulveda Blvd., #208, Los Angeles, CA 90034 | 2007-05-02 |
| 1356462808 | Rashmi S Mullur | Internal Medicine | 8700 Beverly Blvd, Suite B-131, Division of Endocrinology Cedars Sinai Medical Center, Los Angeles, CA 90048 | 2007-04-03 |
| 1952485773 | Han Kyu Suh | Internal Medicine | 4220w 3rd St, Los Angeles, CA 90020 | 2006-10-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
Please comment or provide details below to improve the information on LA CLINIC OF MEDICINE GENETICS AND PREVENTIVE CARE.
| 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.