MS. COLLEEN MEGAN KIRIAZES


Address: 808 W 58th St, 2nd Floor, Los Angeles, CA 90037
Phone: 3235411411

MS. COLLEEN MEGAN KIRIAZES (NPI# 1891244422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891244422
Entity Type Individual
Full Name MS. COLLEEN MEGAN KIRIAZES
Credential PA-C
Practice Address 808 W 58th St
2nd Floor
Los Angeles
CA 90037
Mailing Address 330 Thompson Ave Apt D
Glendale
CA 91201-4008
Practice Telephone 3235411411
Practice Fax Number 8777207181
Mailing Telephone 3059927891
Enumeration Date 2016-09-23
Last Update Date 2018-05-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 808 W 58TH ST
2ND FLOOR
City LOS ANGELES
State CA
Zip Code 90037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356457550 Adrienne L Hurley Physician Assistant 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 2006-08-21
1942808654 Kaitlynn Menjo Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-10-14
1508471723 Elizabeth Reyes Social Worker 808 W 58th St, Los Angeles, CA 90037-3632 2020-09-14
1639788185 Gina Hyung-jin Kim Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-07-29
1578189262 Laorence Wassom Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-06-18
1780210807 Jesica Viviana Cardiel Counselor 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-20
1184250144 Vernica Neche Foots Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-20
1528694957 Audra Wong Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-17
1558996579 Natalie Drorbaugh Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-10
1083248942 Carly Rose Devirian Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871119701 Carina Lizette Guerra Nurse Practitioner St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 2020-06-16
1114556263 Arm 4 Arm Foundation Clinic/Center 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 2020-04-01
1407329766 Lucidite Sleep Laboratory & Treatment Center Inc Clinic/Center 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 2019-01-09
1013491505 Nancy Sandoval Social Worker 644 W 42nd Place, Los Angeles, CA 90037 2018-09-20
1932603081 Adam Wiswell Psychologist 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 2018-03-22
1548764392 St. John's Well Child and Family Center, Inc. Clinic/Center 1000 W. 50th St, Los Angeles, CA 90037 2018-03-19
1134637150 Tamayo Inc & Lascoe Inc Dental Partnership Dentist 4400 S Broadway Ste #103, Los Angeles, CA 90037 2018-01-11
1295282283 Catherine Azzopardi Social Worker 4601 S Broadway, Los Angeles, CA 90037 2016-09-07
1619423266 Esmeralda Garcia Dietitian, Registered 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 2016-09-01
1225405921 Sophan Cheng Nurse Practitioner 808 W. 58th Street, Los Angeles, CA 90037 2015-08-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
1942738943 Sophavy Suon Physician Assistant 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 2017-06-02
1619429503 Rachel Frankenthal Physician Assistant 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 2016-10-26
1982152815 Accessmed A Physician Assistant Professional Corporation Physician Assistant 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 2016-09-20
1043766363 Amber Joy Rangel Physician Assistant 2523 Armacost Ave, Los Angeles, CA 90064-2715 2016-08-28
1184080459 Doreen Yasharel Physician Assistant 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 2016-01-02
1649649443 Thuy Vo Physician Assistant 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 2015-09-22
1649655663 Carlee Ettinger Physician Assistant 2751 Rinconia Dr, Los Angeles, CA 90068-2227 2015-07-21
1841681467 Lauren Layson Physician Assistant 4049 Via Marisol, Los Angeles, CA 90042-5055 2015-02-18
1871981282 Dianne Desiree Rivera Navoa Physician Assistant 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 2015-01-07
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Competitor

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City LOS ANGELES
Zip Code 90037

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Dataset Information

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.

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