MRS. SELENA PATRICE IVEY (NPI# 1750474284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750474284 |
Entity Type | Individual |
Full Name | MRS. SELENA PATRICE IVEY |
Other Name | MS. SELENA PATRICE BURQUEZ |
Credential | RKT |
Practice Address |
11301 Wilshire Boulevard Los Angeles CA 90073 |
Mailing Address |
10346 1/2 Riverside Drive Toluca Lake CA 91602 |
Practice Telephone | 3104783711 |
Mailing Telephone | 8188235227 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 1687 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11301 WILSHIRE BOULEVARD |
City | LOS ANGELES |
State | CA |
Zip Code | 90073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265827489 | Emanuel Anye Awasom | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Boulevard, Department of Veterans Affairs Greater La Healthcare Sy, Los Angeles, CA 90073 | 2015-04-03 |
1669763223 | Mung Ying Yung | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Boulevard, Los Angeles, CA 90073 | 2011-04-29 |
1043462567 | Nina Segil | Dietitian, Registered | 11301 Wilshire Boulevard, Los Angeles, CA 90025 | 2008-10-15 |
1710009881 | Seetal Preet K Cheema | Acupuncturist | 11301 Wilshire Boulevard, Department of Anethesia (212), Los Angeles, CA 90073 | 2007-04-06 |
1396821369 | Sonia Jayanti Patel | Pharmacist | 11301 Wilshire Boulevard, Los Angeles, CA 90073-1003 | 2006-10-31 |
1326134511 | Janet Shepherd | Specialist | 11301 Wilshire Boulevard, Los Angeles, CA 90073 | 2006-10-05 |
1710071451 | Romilson Ver Oania | Kinesiotherapist | 11301 Wilshire Boulevard, Los Angeles, CA 90073 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
1184285090 | Marcela Leticia Orellana Galvez | Podiatrist | 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 | 2019-06-23 |
1508310996 | Jennifer Maravola | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 | 2016-08-15 |
1861859480 | Michael Fisher | Student in an Organized Health Care Education/Training Program | 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 | 2016-01-27 |
1629453295 | Christopher Denzel Lewis | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 | 2015-07-24 |
1689089179 | Rachel Stannus | Social Worker | 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 | 2014-06-24 |
1215355433 | Michael Francis Zito | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 | 2014-04-03 |
1831523901 | Sarah Arensman Miller | Psychologist | 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 | 2013-08-26 |
1134447733 | Stuart Thomas Yee | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 | 2010-05-07 |
1306177654 | Pete Petriashvili | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 | 2010-01-27 |
Find all providers in zip 90073 |
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 | 90073 |
Please comment or provide details below to improve the information on MRS. SELENA PATRICE IVEY.
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.