KENNETH E WOLF (NPI# 1902003478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902003478 |
| Entity Type | Individual |
| Full Name | KENNETH E WOLF |
| Practice Address |
12021 Wilmington Ave Los Angeles CA 90059-3019 |
| Mailing Address |
17350 Bronte Pl Granada Hills CA 91344-1027 |
| Practice Telephone | 3106684506 |
| Practice Fax Number | 3107638909 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | AU552 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
| 1932215498 | Kenneth Gerard Wolf | Chiropractor | 1276a Jungermann Rd, Saint Peters, MO 63376-6961 | 2006-08-21 |
| 1982609152 | Kenneth Wolf | Dentist | 7633 Highway 70 S, Nashville, TN 37221-1706 | 2005-06-15 |
| 1316318413 | Kenneth Wolf | Psychologist | 6330 Bloomfield Glens Rd, West Bloomfield, MI 48322-2513 | 2015-10-14 |
| 1386739324 | Kenneth Joel Wolf | Ophthalmology | 1180 Morris Park Ave, Bronx, NY 10461-1925 | 2006-10-04 |
| 1417952235 | Kenneth P Wolf | Ophthalmology | 249 Main St, Lewiston, ME 04240-7053 | 2005-06-17 |
| Street Address |
12021 WILMINGTON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750351300 | Gangadarshni Chandramohan | Pediatrics | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2006-01-25 |
| 1639704323 | Martin Luther King Jr Community Medical Group-wilmington Ave | Case Manager/Care Coordinator | 12021 Wilmington Ave, Building 11, Suite 1000, Los Angeles, CA 90059 | 2020-03-03 |
| 1114418928 | Exodus Recovery, Inc. | Community/Behavioral Health | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2018-05-29 |
| 1043759855 | Los Angeles County Department of Mental Health | Clinic/Center | 12021 Wilmington Ave, Los Angeles, CA 90059 | 2017-02-14 |
| 1053855064 | Maria Casarez-romero | Rehabilitation Practitioner | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2016-12-09 |
| 1295279453 | Kelsey Collins | Marriage & Family Therapist | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2016-12-07 |
| 1639628035 | Stella Cuomo | Student in an Organized Health Care Education/Training Program | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2016-09-26 |
| 1821443995 | Patanya Matthews | Counselor | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2016-04-26 |
| 1043677289 | Kita Stovall | Nurse Practitioner | 12021 Wilmington Ave, Los Angeles, CA 90059 | 2016-01-19 |
| 1417314741 | Noele Le Flore | Nurse Practitioner | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2016-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1679655203 | Aramais Paronyan | Medical Genetics, Ph.D. Medical Genetics | 5220 Santa Monica Blvd Ste E, Los Angeles, CA 90029-1234 | 2006-10-20 |
| 1073543815 | Joseph Rudison | Medical Genetics, Ph.D. Medical Genetics | 9014 S Broadway, Los Angeles, CA 90003-3631 | 2006-07-04 |
| 1881145266 | Hane Lee | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, Los Angeles, CA 90095-1732 | 2016-10-20 |
| 1285009027 | Samuel Strom | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2015-12-04 |
| 1932419975 | Anna H. Wu | Medical Genetics, Ph.D. Medical Genetics | 1441 Eastlake Ave, 4443, Los Angeles, CA 90089-0112 | 2010-10-08 |
| 1801095435 | Nagesh P Rao | Medical Genetics, Ph.D. Medical Genetics | 1000 Veteran Ave, Room 22-26 Rehab Bldg, Ucla Cytogenetics Laboratory, Los Angeles, CA 90024-2704 | 2007-07-13 |
| 1306049440 | Tommy Eugene Howard | Medical Genetics, Ph.D. Medical Genetics | 11301 Wilshire Blvd Bldg 500, Dept. of Pathology & Laboratory Medicine, Los Angeles, CA 90073-1003 | 2007-06-07 |
| 1447300504 | Robert A Glazer | Medical Genetics, Ph.D. Medical Genetics | 5250 Santa Monica Blvd, Suite 208, Los Angeles, CA 90029-1252 | 2007-01-11 |
| 1861583353 | Christina Germaine Palmer | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-09-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on KENNETH E WOLF.
| 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.