GINGER C SLACK (NPI# 1811330566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811330566 |
| Entity Type | Individual |
| Full Name | GINGER C SLACK |
| Practice Address |
200 Ucla Medical Plz Ste 460 Los Angeles CA 90095-5224 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3108255510 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
137108 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1340 S Beverly Glen Blvd Apt 312, Los Angeles, CA 900245224 | 7035177252 |
| Street Address |
200 UCLA MEDICAL PLZ STE 460 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750439782 | Andrew J Vardanian | Plastic Surgery | 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-6960 | 2007-01-08 |
| 1508279910 | Lynn Marie Frydrych | Student in an Organized Health Care Education/Training Program | 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-5000 | 2014-06-04 |
| 1639582125 | Chen Yan | Plastic Surgery | 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-8344 | 2014-06-03 |
| 1669890554 | Mengyuan Liu | Plastic Surgery | 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-2420 | 2014-03-29 |
| 1215226311 | Adam Scott Levy | Plastic Surgery | 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-4870 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447560289 | Tadeusz Wellisz | Surgery | 536 South Rimpau Blvd, Los Angeles, CA 90020 | 2010-10-14 |
| 1801971478 | Kyoung Chol Kim | Surgery | 2970 W Olympic Blvd, Suite 204 & 205, Los Angeles, CA 90006-2518 | 2006-10-25 |
| 1770006538 | Debra Ann Wallace | Surgery | 1100 N State Street, Clinic Tower A6a231a, Los Angeles, CA 90033 | 2017-07-24 |
| 1003369380 | Integrative Medical Group, Inc | Surgery | 2200 W 3rd St, Suite 120 A, Los Angeles, CA 90057-1932 | 2016-08-03 |
| 1841659042 | Ryan Spivak Integrative Plastic Surgery Inc | Surgery | 2200 W 3rd St, Suite 120a, Los Angeles, CA 90057-1932 | 2016-02-16 |
| 1548659170 | Libby Wilson Md Inc | Surgery | 403 W Adams Blvd, Los Angeles, CA 90007-2664 | 2015-01-20 |
| 1265705925 | Gary Motykie, M.d. A Medical Corporation | Surgery | 9201 W Sunset Blvd, Suite Gf-1, Los Angeles, CA 90069-3701 | 2012-02-10 |
| 1851607642 | Mark L Labowe M D A Prof Corp | Surgery | 12301 Wilshire Blvd, Suite 325, Los Angeles, CA 90025-1007 | 2010-08-31 |
| 1699003731 | Jeffrey D Hoefflin Md Inc | Surgery | 9201 W Sunset Blvd, Ste.#805, Los Angeles, CA 90069-3701 | 2009-12-01 |
| 1255579272 | Anita Patel, M.d., Inc. | Surgery | 1245 Wilshire Blvd, Suite 601, Los Angeles, CA 90017-4810 | 2009-01-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on GINGER C SLACK.
| 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.