CELENA JOYCE DERDERIAN (NPI# 1790312783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790312783 |
| Entity Type | Individual |
| Full Name | CELENA JOYCE DERDERIAN |
| Practice Address |
1200 N State Street Clinic Tower Suite A7d Los Angeles CA 90033-1029 |
| Practice Telephone | 3234095555 |
| Mailing Telephone | 3234095555 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1200 N STATE STREET CLINIC TOWER SUITE A7D |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710468616 | Maryam Masood | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2018-08-28 |
| 1841829413 | Sarah Garvey | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-04-06 |
| 1669000139 | Curtis Yoshihiro Maehara | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-31 |
| 1275161838 | Christopher Wang | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-30 |
| 1174150197 | Irene Chang | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-27 |
| 1962030940 | Varun Teja Angajala | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-27 |
| 1104454115 | Annasha Vyas | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-27 |
| 1033746029 | Martin Valera Consunji | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-27 |
| 1255969283 | Ahana Yogesh | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-27 |
| 1407483605 | Vanessa Lizette Castillo | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on CELENA JOYCE DERDERIAN.
| 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.