LACY LITTLE KNOWLES (NPI# 1952660599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952660599 |
Entity Type | Individual |
Full Name | LACY LITTLE KNOWLES |
Credential | D.O. |
Practice Address |
6801 Park Ter Ste 130 Los Angeles CA 90045 |
Mailing Address |
Po Box 54679 Los Angeles CA 90054-0679 |
Practice Telephone | 3102487878 |
Practice Fax Number | 3102487850 |
Enumeration Date | 2012-05-15 |
Last Update Date | 2019-12-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
20A15521 | CA | Allopathic & Osteopathic Physicians |
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
20A15521 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
3801 North Blvd, Baton Rouge, LA 708063825 | 2253877899 | 2253812579 |
6801 Park Ter Ste 130, Los Angeles, CA 90045 | 3102487878 | 3102487850 |
Street Address |
6801 PARK TER STE 130 |
City | LOS ANGELES |
State | CA |
Zip Code | 90045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
Find all providers in zip 90045 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
1467630806 | Eric D. Jackson-scott | Family Medicine | 2355 Westwood Blvd Ste 609, Los Angeles, CA 90064-2109 | 2008-02-07 |
1750762027 | Jaclyn Rodriguez | Family Medicine | 10250 Santa Monica Blvd Ste 2440, Los Angeles, CA 90067-6593 | 2015-06-12 |
1437417441 | Leena Jay Patel | Family Medicine | 4950 W Sunset Blvd, 4th Floor, Los Angeles, CA 90027-5822 | 2012-04-26 |
1851623029 | Walter R Obrien Md Inc A Medical Corporation | Family Medicine | 11710 Wilshire Blvd, Los Angeles, CA 90025-1503 | 2010-02-12 |
1366671836 | Ho Je Lee | Family Medicine | 966 S Western Ave, Ste 201, Los Angeles, CA 90006-1015 | 2009-07-06 |
1992840680 | Javid Tavari, D.o., Inc. | Family Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2007-02-20 |
1821186958 | Augusto Rojas | Family Medicine | 11961 Venice Blvd, Los Angeles, CA 90066-3905 | 2006-10-11 |
1326061896 | Allan Abbott | Family Medicine | 1520 San Pablo St Ste 1300, Los Angeles, CA 90033-5310 | 2006-07-25 |
1346290814 | Walter R O'brien | Family Medicine | 11600 Wilshire Blvd, Suite 522, Los Angeles, CA 90025-5781 | 2006-05-12 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90045 |
Please comment or provide details below to improve the information on LACY LITTLE KNOWLES.
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.