TREVIN THURMAN MD INC (NPI# 1992296420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992296420 |
| Entity Type | Organization |
| Organization Name | TREVIN THURMAN MD INC |
| Practice Address |
11500 W Olympic Blvd Ste 640 Los Angeles CA 90064-1525 |
| Mailing Address |
13428 Maxella Ave Ste 461 Marina Del Rey CA 90292-5620 |
| Practice Telephone | 3108536390 |
| Mailing Telephone | 3108536390 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | TREVIN THURMAN (MD) |
| Authorized Official Telephone | 3108536390 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
A114470 | CA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A114470 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13428 Maxella Ave Ste 461, Marina Del Rey, CA 902925620 | 3108536390 |
| Street Address |
11500 W OLYMPIC BLVD STE 640 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215280706 | Elite Orthosport Physical Therapy | Clinic/Center | 11500 W Olympic Blvd Ste 640, Los Angeles, CA 90064-1524 | 2012-10-21 |
| 1811412646 | Andrea Gard | Physical Therapist | 11500 W Olympic Blvd Ste 640, Los Angeles, CA 90064-1524 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578871356 | Hyun-chang Choi | Physical Medicine & Rehabilitation | 1110 S Lake St Apt 307, Los Angeles, CA 90006-3688 | 2010-09-15 |
| 1801118716 | Kenith K Paresa, Md A Professional Corp | Physical Medicine & Rehabilitation | 1964 Westwood Blvd Ste 435, Los Angeles, CA 90025 | 2010-02-18 |
| 1710041504 | Paul Leonard | Physical Medicine & Rehabilitation | 5266 W Olympic Blvd, Los Angeles, CA 90036-4916 | 2006-12-19 |
| 1437179934 | Bipin B Bharatwal | Physical Medicine & Rehabilitation | 11728 Dorothy St, Apt 309, Los Angeles, CA 90049-5560 | 2006-07-20 |
| 1285274035 | In-line Medical, Inc., A Professional Medical Corporation | Physical Medicine & Rehabilitation | 1127 Wilshire Blvd Ste 510, Los Angeles, CA 90017-3906 | 2020-01-09 |
| 1891202263 | Edward K. Pang Medical Corporation | Physical Medicine & Rehabilitation | 444 S San Vicente Blvd Ste 901, Los Angeles, CA 90048-4174 | 2018-01-06 |
| 1386031201 | Eric Sun | Physical Medicine & Rehabilitation | 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 | 2015-04-17 |
| 1861810368 | Ian Dworkin | Physical Medicine & Rehabilitation | 8436 W 3rd St Ste 800, Los Angeles, CA 90048-4100 | 2014-04-01 |
| 1942540224 | Active Pain Relief Inc | Physical Medicine & Rehabilitation | 4601 Wilshire Blvd, 3rd Floor, Los Angeles, CA 90010-3880 | 2013-02-22 |
| 1285920090 | Edward Pang | Physical Medicine & Rehabilitation | 11301 Wilshire Blvd, Mail #117, Los Angeles, CA 90073-1003 | 2011-06-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
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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.