DR. ERIN SHIGEKO KELLY (NPI# 1780028464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780028464 |
| Entity Type | Individual |
| Full Name | DR. ERIN SHIGEKO KELLY |
| Credential | M.D. |
| Practice Address |
2708 Greenfield Ave Los Angeles CA 90064-4032 |
| Practice Telephone | 3102914154 |
| Practice Fax Number | 3104253127 |
| Mailing Telephone | 3102914154 |
| Mailing Fax Number | 3104253127 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A87254 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505884 | Erin Elizabeth Kelly | Occupational Therapist | 88 Cherry St, Floral Park, NY 11001-3342 | 2019-08-29 |
| 1548728140 | Erin Marie Kelly | Counselor | 12630 Ann St, Blue Island, IL 60406-1704 | 2019-03-04 |
| 1962976936 | Erin Kelly | Physical Therapist | 718 N Main St Unit 18, Gunnison, CO 81230-2412 | 2019-01-14 |
| 1215416409 | Erin Kelly | Occupational Therapist | 1887 Barthgate Ave, Bronx, NY 10457 | 2018-08-09 |
| 1285147421 | Erin E Kelly | Social Worker | 311 S Craig St Ste 300, Pittsburgh, PA 15213-3731 | 2017-11-09 |
| 1568974871 | Erin Kelly | Speech-Language Pathologist | 875 Poplar Church Rd Ste 320, Camp Hill, PA 17011-2203 | 2017-10-26 |
| 1790238566 | Erin Kelly | Dietitian, Registered | 4580 Lincklaen Rd, Cazenovia, NY 13035-9756 | 2016-07-28 |
| 1154733525 | Erin Kelly | Case Manager/Care Coordinator | 1150 S Olive St, Los Angeles, CA 90015-2211 | 2014-05-20 |
| 1619218997 | Erin Kelly | Counselor | 4440 Beard Ave S Apt 308, Minneapolis, MN 55410-1465 | 2013-03-11 |
| 1174811038 | Erin N Kelly | Counselor | 2205-a S Main, Las Cruces, NM 88005 | 2011-07-13 |
| Street Address |
2708 GREENFIELD AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851913917 | St Bishoy Medical Group | General Practice | 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658 | 2020-05-12 |
| 1609403807 | Doctors On The Go Professional Group Corp. | General Practice | 3325 Wilshire Blvd Ste 210, Los Angeles, CA 90010-1718 | 2020-03-26 |
| 1568001584 | Ahdout Health Services, Inc. | General Practice | 2121 Avenue of The Stars # Ll20, Los Angeles, CA 90067-5010 | 2019-12-23 |
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1972064004 | Divine Help Medical Group Inc | General Practice | 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 | 2019-03-29 |
| 1942767801 | Plaza Health Services Inc. | General Practice | 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 | 2019-02-27 |
| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on DR. ERIN SHIGEKO KELLY.
| 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.