MARIA GULTOM (NPI# 1013391358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013391358 |
Entity Type | Individual |
Full Name | MARIA GULTOM |
Practice Address |
100 Ucla Medical Plz Ste 630 Los Angeles CA 90024-6997 |
Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
Practice Telephone | 3107941276 |
Mailing Telephone | 3102679536 |
Enumeration Date | 2015-07-16 |
Last Update Date | 2020-07-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
95002729 | CA | Allopathic & Osteopathic Physicians |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95002729 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
10833 Le Conte Ave, Los Angeles, CA 900953075 | 3108259820 | |
757 Westwood Plz, Suite 7330f, Los Angeles, CA 900958358 | 3102679536 |
Street Address |
100 UCLA MEDICAL PLZ STE 630 |
City | LOS ANGELES |
State | CA |
Zip Code | 90024-6997 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487608378 | Richard J Shemin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2006-05-22 |
1427431204 | Melissa Dejesus | Registered Nurse | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2015-06-30 |
1992095566 | Megan Y. Kamath | Internal Medicine | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2011-04-15 |
1427357995 | Natalia Neverova | Internal Medicine | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2011-03-22 |
1609171644 | Michelle Nguyen | Nurse Practitioner | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2011-01-24 |
1841482981 | Murray H. Kwon | Internal Medicine | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2007-08-13 |
1679612287 | Hillel Laks | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2007-02-06 |
1881748630 | Olcay Aksoy | Internal Medicine | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2007-01-22 |
1720013717 | Arnold S Baas | Internal Medicine | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2006-07-11 |
1356382717 | Jamil Anis Aboulhosn | Internal Medicine | 100 Ucla Medical Plz Ste 630, Los Angeles, CA 90024-6997 | 2006-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
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1710523071 | World of Health Therapy Inc | Behavioral Analyst | 1539 Woodruff Avenue, Apartment 304, Los Angeles, CA 90024 | 2019-11-21 |
1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
Find all providers in zip 90024 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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1932675824 | Cardiac Pet Partners Inc. | Internal Medicine | 8635 W 3rd St Ste 355, Los Angeles, CA 90048-6112 | 2018-10-17 |
1861967168 | Los Angeles Heart and Vein Center Inc | Internal Medicine | 1300 N Vermont Ave Ste 809, Los Angeles, CA 90027-6098 | 2018-10-12 |
1386156453 | Global Cardio Care Inc. | Internal Medicine | 11860 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6606 | 2017-10-30 |
1982115457 | Center for Advanced Cardiac and Vascular Interventions | Internal Medicine | 8635 W 3rd St Ste 695w, Los Angeles, CA 90048-6162 | 2017-10-23 |
1831611714 | Christine Pacheco Claudio | Internal Medicine | 127 S San Vincente, Barbra Streisand Women's Heart Health Center, Los Angeles, CA 90048 | 2017-07-12 |
1063886323 | Saman Fakheri Md Inc | Internal Medicine | 16601 Park Lane Cir, Los Angeles, CA 90049-1146 | 2015-11-23 |
1770965758 | Christopher W Chu Md, Inc | Internal Medicine | 711 W College St Ste 540, Los Angeles, CA 90012-1246 | 2015-06-25 |
1386088920 | Michael Siamak Shoai | Internal Medicine | 16604 Park Lane Pl, Los Angeles, CA 90049-1150 | 2013-04-25 |
1497095962 | Herbert Gold Sr. | Internal Medicine | 1284 Sunset Plaza Dr, Los Angeles, CA 90069 | 2013-02-21 |
1205187168 | Masood Haque | Internal Medicine | 2520 Nottingham Ave, Los Angeles, CA 90027-1039 | 2012-10-01 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90024 |
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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.