MRS. SELENA PATRICE IVEY


Address: 11301 Wilshire Boulevard, Los Angeles, CA 90073
Phone: 3104783711

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner 1687 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 11301 WILSHIRE BOULEVARD
City LOS ANGELES
State CA
Zip Code 90073

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

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

Competitor

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City LOS ANGELES
Zip Code 90073

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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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