ZULLY MEDRANO (NPI# 1780920199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780920199 |
| Entity Type | Individual |
| Full Name | ZULLY MEDRANO |
| Credential | LPT |
| Practice Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Mailing Address |
Po Box 14492 Torrance CA 90503-8492 |
| Practice Telephone | 8008547771 |
| Mailing Telephone | 4244775808 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2016-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 36775 | CA | Nursing Service Providers |
| Street Address |
550 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217781 | Glenn Francis Vrabel | Psychologist | 550 S Vermont Ave, 10th Floor, Los Angeles, CA 90020-1912 | 2006-04-28 |
| 1437750577 | Jorge Eliseo Lopez | Driver | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-04 |
| 1831790138 | Cynthia Arnell Williams | Behavior Technician | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-03 |
| 1770183550 | Candice Hendrix | Behavior Technician | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-10-29 |
| 1083214084 | Gabrielle Denise Parker | Community Health Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-10-28 |
| 1003433368 | Shannon Ashly Requena | Student in an Organized Health Care Education/Training Program | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-07-01 |
| 1053934364 | David Snell | Case Manager/Care Coordinator | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-05-20 |
| 1891315974 | Desiree Block Hegazy | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-04-20 |
| 1669091773 | Doris Benosa | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-04-09 |
| 1598314874 | Cosette Carleo | Social Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
| 1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
| 1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
| 1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
| 1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
| 1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
| 1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
| 1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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| 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.