LIFE UNCOMMON, LLC (NPI# 1033586698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033586698 |
Entity Type | Organization |
Organization Name | LIFE UNCOMMON, LLC |
Practice Address |
8616 La Tijera Blvd Suite 404 Los Angeles CA 90045-3944 |
Practice Telephone | 3103569951 |
Mailing Telephone | 3103569951 |
Enumeration Date | 2015-08-29 |
Last Update Date | 2015-10-13 |
Authorized Official Name | MRS. CORRIE L GREATHOUSE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3103569951 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
8616 LA TIJERA BLVD SUITE 404 |
City | LOS ANGELES |
State | CA |
Zip Code | 90045-3944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124023494 | Five Star Home Health, Inc. | Home Health | 8616 La Tijera Blvd, Suite 408, Los Angeles, CA 90045-3944 | 2005-06-14 |
1063987337 | Drago Charles Baric | Community Health Worker | 8616 La Tijera Blvd, Los Angeles, CA 90045-3944 | 2018-10-12 |
1487140653 | Lizeth Villegas | Rehabilitation Practitioner | 8616 La Tijera Blvd, Los Angeles, CA 90045-3944 | 2018-07-10 |
1083149520 | Tina Gail Hansen Phillips | Marriage & Family Therapist | 8616 La Tijera Blvd, 200, Los Angeles, CA 90045-3944 | 2017-04-21 |
1831634815 | Trilogy Eye Medical Group, Inc. | Optometrist | 8616 La Tijera Blvd, Ste 102, Los Angeles, CA 90045-3944 | 2016-12-29 |
1750749784 | 8616 Group, LLC | Marriage & Family Therapist | 8616 La Tijera Blvd, Suite 404, Los Angeles, CA 90045-3944 | 2016-02-04 |
1316318116 | Rene Erazo Jr. | Counselor | 8616 La Tijera Blvd, Los Angeles, CA 90045 | 2015-10-19 |
1346633401 | Retina Institute of California Medical Group | Optometrist | 8616 La Tijera Blvd, 102, Los Angeles, CA 90045-3944 | 2015-03-13 |
1679974885 | Aya Tateishi | Counselor | 8616 La Tijera Blvd, Suite 200, Los Angeles, CA 90045-3944 | 2014-09-07 |
1942619978 | Janette Rodriguez | Rehabilitation Practitioner | 8616 La Tijera Blvd, Los Angeles, CA 90045-3944 | 2014-08-04 |
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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 | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1033516943 | Uc Regents | Clinic/Center | 10833 Le Conte, Los Angeles, CA 90095-1752 | 2014-11-21 |
1962811265 | County of Los Angeles - Auditor Controller | Clinic/Center | 1670 East 120 Th Street, Martin Luther King Jr. Pharmacy, Los Angeles, CA 90059-3019 | 2014-08-12 |
1952526915 | Silka Enterprises Inc | Clinic/Center | 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 | 2007-04-16 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90045 |
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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.