DR. KENNETH L SUBOTNIK (NPI# 1790709335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790709335 |
Entity Type | Individual |
Full Name | DR. KENNETH L SUBOTNIK |
Credential | PH.D. |
Practice Address |
10850 Wilshire Blvd Suite 240 Los Angeles CA 90024-4305 |
Mailing Address |
300 Ucla Medical Plz Room 2240 Los Angeles CA 90095-8346 |
Practice Telephone | 3108244600 |
Mailing Telephone | 3108244600 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY12770 | CA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PSY127700 | 05 |
Street Address |
10850 WILSHIRE BLVD SUITE 240 |
City | LOS ANGELES |
State | CA |
Zip Code | 90024-4305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083667455 | Robert Hugh Gerner | Psychiatry & Neurology | 10850 Wilshire Blvd, Suite1260, Los Angeles, CA 90024-4305 | 2006-05-18 |
1578932935 | Karla F. Solis Dds, Inc. | Dentist | 10850 Wilshire Blvd, Suite 330, Los Angeles, CA 90024-4305 | 2015-09-16 |
1760806376 | Rota Dental Corporation | Dentist | 10850 Wilshire Blvd, Suite 330, Los Angeles, CA 90024-4305 | 2014-02-18 |
1114355237 | Westside Neurotherapeutics, LLC. | Psychologist | 10850 Wilshire Blvd, 1260, Los Angeles, CA 90024-4305 | 2013-10-29 |
1316187578 | Franklin H. Dines, M.d. Inc. | Psychiatry & Neurology | 10850 Wilshire Blvd, # 1175, Los Angeles, CA 90024-4305 | 2009-03-02 |
1942459144 | Tara Sophia Peris | Psychologist | 10850 Wilshire Blvd, Suite 1210, Los Angeles, CA 90024-4305 | 2008-09-11 |
1326217662 | Kathleen Ann Moreno | Psychiatry & Neurology | 10850 Wilshire Blvd, Suite 1150, Los Angeles, CA 90024-4305 | 2008-02-20 |
1184892937 | Intelli-heart Services Inc | Physiological Laboratory | 10850 Wilshire Blvd, Suite 740, Los Angeles, CA 90024-4305 | 2008-02-14 |
1881886802 | Kirstin Claudia Moerk | Psychologist | 10850 Wilshire Blvd, Suite 740, Los Angeles, CA 90024-4305 | 2007-08-14 |
1689865925 | James Eugene Rota | Dentist | 10850 Wilshire Blvd, Suite 330, Los Angeles, CA 90024-4305 | 2007-08-01 |
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1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
Find all providers in zip 90024 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90024 |
Please comment or provide details below to improve the information on DR. KENNETH L SUBOTNIK.
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.