LIFE UNCOMMON, LLC


Address: 8616 La Tijera Blvd, Suite 404, Los Angeles, CA 90045-3944
Phone: 3103569951

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8616 LA TIJERA BLVD
SUITE 404
City LOS ANGELES
State CA
Zip Code 90045-3944

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1033516943 Uc Regents Clinic/Center 10833 Le Conte, Los Angeles, CA 90095-1752 2014-11-21
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1952526915 Silka Enterprises Inc Clinic/Center 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 2007-04-16
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90045

Improve Information

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Dataset Information

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.

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