KENITH K PARESA, MD A PROFESSIONAL CORP (NPI# 1801118716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801118716 |
| Entity Type | Organization |
| Organization Name | KENITH K PARESA, MD A PROFESSIONAL CORP |
| Practice Address |
1964 Westwood Blvd Ste 435 Los Angeles CA 90025 |
| Mailing Address |
15332 Antioch St # 530 Pacific Palisades CA 90272-3628 |
| Practice Telephone | 3108569488 |
| Mailing Telephone | 3108748430 |
| Mailing Fax Number | 7149174620 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | KENITH K PARESA (PRESIDENT) |
| Authorized Official Telephone | 3106599566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A66233 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6221 Wilshire Blvd, # 620, Los Angeles, CA 900485201 | 3235560090 | 3235560094 |
| Street Address |
1964 WESTWOOD BLVD STE 435 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578871356 | Hyun-chang Choi | Physical Medicine & Rehabilitation | 1110 S Lake St Apt 307, Los Angeles, CA 90006-3688 | 2010-09-15 |
| 1710041504 | Paul Leonard | Physical Medicine & Rehabilitation | 5266 W Olympic Blvd, Los Angeles, CA 90036-4916 | 2006-12-19 |
| 1437179934 | Bipin B Bharatwal | Physical Medicine & Rehabilitation | 11728 Dorothy St, Apt 309, Los Angeles, CA 90049-5560 | 2006-07-20 |
| 1285274035 | In-line Medical, Inc., A Professional Medical Corporation | Physical Medicine & Rehabilitation | 1127 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3906 | 2020-01-09 |
| 1891202263 | Edward K. Pang Medical Corporation | Physical Medicine & Rehabilitation | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2018-01-06 |
| 1386031201 | Eric Sun | Physical Medicine & Rehabilitation | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 | 2015-04-17 |
| 1861810368 | Ian Dworkin | Physical Medicine & Rehabilitation | 8436 W 3rd St Ste 800, Los Angeles, CA 90048-4100 | 2014-04-01 |
| 1942540224 | Active Pain Relief Inc | Physical Medicine & Rehabilitation | 4601 Wilshire Blvd, 3rd Floor, Los Angeles, CA 90010-3880 | 2013-02-22 |
| 1285920090 | Edward Pang | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd, Mail #117, Los Angeles, CA 90073-1003 | 2011-06-21 |
| 1861622490 | Radiance Health Group, Inc | Physical Medicine & Rehabilitation | 11860 Wilshire Blvd, Ste 100, Los Angeles, CA 90025-6613 | 2009-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.