MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION (NPI# 1831631332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831631332 |
| Entity Type | Organization |
| Organization Name | MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION |
| Other Organization Name | MSLA, A MEDICAL CORPORATION |
| Practice Address |
12900 Garden Grove Blvd Building B, Suite #235 Garden Grove CA 92843-2006 |
| Mailing Address |
1294 E Colorado Blvd Pasadena CA 91106-1901 |
| Practice Telephone | 7145908798 |
| Practice Fax Number | 7145908527 |
| Mailing Telephone | 6264072152 |
| Mailing Fax Number | 6262393666 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | SAHNIAH SICIARZ-LAMBERT (CFO) |
| Authorized Official Telephone | 6264072152 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MSLA, A medical Corporation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962926014 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 168 N Brent St Ste 501, Ventura, CA 93003-2840 | 2017-07-31 |
| 1982128039 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 225 E Airport Dr Ste 100, San Bernardino, CA 92408-3421 | 2017-07-31 |
| 1770007825 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 855 N Lark Ellen Ave Ste C, West Covina, CA 91791-1099 | 2017-07-31 |
| 1184148231 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 100 N Arlington Ave Ste 240, Reno, NV 89501-1243 | 2017-07-31 |
| 1376065797 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 525 South Dr Ste 215, Mountain View, CA 94040-4211 | 2017-07-07 |
| 1700308129 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 981 W 7th St Ste 981, Oxnard, CA 93030-6757 | 2017-07-07 |
| 1013438811 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 790 Loughborough Dr, Merced, CA 95348-2626 | 2017-06-30 |
| 1740701531 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 512 Westline Dr Ste 202, Alameda, CA 94501-7605 | 2017-06-30 |
| 1154842946 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 5300 Lennox Ave Ste 302, Bakersfield, CA 93309-1662 | 2017-06-30 |
| 1750802559 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1011 E Devonshire Ave Ste 200, Hemet, CA 92543-3033 | 2017-06-30 |
| Street Address |
12900 GARDEN GROVE BLVD BUILDING B, SUITE #235 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285820191 | Kimchuyen Thi Nguyen | Specialist | 12900 Garden Grove Blvd, Suite 214a, Garden Grove, CA 92843-2006 | 2007-09-25 |
| 1043750185 | Lala Truong | Counselor | 12900 Garden Grove Blvd, Suite 214a, Garden Grove, CA 92843-2006 | 2017-03-07 |
| 1134667959 | Clayton Mizutari | Case Manager/Care Coordinator | 12900 Garden Grove Blvd, Garden Grove, CA 92843-2006 | 2017-02-01 |
| 1083157648 | Harrison Truong | Case Manager/Care Coordinator | 12900 Garden Grove Blvd, Garden Grove, CA 92843-2006 | 2016-11-29 |
| 1689116436 | Paul Thang | Counselor | 12900 Garden Grove Blvd, Ste 214a, Garden Grove, CA 92843-2006 | 2016-11-10 |
| 1790230431 | Michael-vu Xuan Bui | Case Manager/Care Coordinator | 12900 Garden Grove Blvd, Suite 225b, Garden Grove, CA 92843-2006 | 2016-08-23 |
| 1710352786 | Sally Huynh | Counselor | 12900 Garden Grove Blvd, Suite 225, Garden Grove, CA 92843-2006 | 2015-12-02 |
| 1306215322 | Angela Lin | Counselor | 12900 Garden Grove Blvd, Suite 214a, Garden Grove, CA 92843-2006 | 2015-09-21 |
| 1982072930 | Deborah Hong | Social Worker | 12900 Garden Grove Blvd, Ste A214, Garden Grove, CA 92843-2006 | 2015-09-08 |
| 1598173346 | Rescare Behavior Services, Inc. | Community/Behavioral Health | 12900 Garden Grove Blvd, Suite 170, Garden Grove, CA 92843-2006 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962926014 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 168 N Brent St Ste 501, Ventura, CA 93003-2840 | 2017-07-31 |
| 1982128039 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 225 E Airport Dr Ste 100, San Bernardino, CA 92408-3421 | 2017-07-31 |
| 1770007825 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 855 N Lark Ellen Ave Ste C, West Covina, CA 91791-1099 | 2017-07-31 |
| 1376065797 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 525 South Dr Ste 215, Mountain View, CA 94040-4211 | 2017-07-07 |
| 1700308129 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 981 W 7th St Ste 981, Oxnard, CA 93030-6757 | 2017-07-07 |
| 1013438811 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 790 Loughborough Dr, Merced, CA 95348-2626 | 2017-06-30 |
| 1740701531 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 512 Westline Dr Ste 202, Alameda, CA 94501-7605 | 2017-06-30 |
| 1154842946 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 5300 Lennox Ave Ste 302, Bakersfield, CA 93309-1662 | 2017-06-30 |
| 1750802559 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1011 E Devonshire Ave Ste 200, Hemet, CA 92543-3033 | 2017-06-30 |
| 1326569112 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 684 Medical Center Dr E Ste 105, Clovis, CA 93611-6806 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.