MILDRED URRUTIA (NPI# 1053770545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053770545 |
| Entity Type | Individual |
| Full Name | MILDRED URRUTIA |
| Practice Address |
2640 Industry Way Ste A Lynwood CA 90262-4285 |
| Practice Telephone | 4242131150 |
| Mailing Telephone | 4242131150 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2640 INDUSTRY WAY STE A |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110296 | Dalila Maribel Perdomo | Case Manager/Care Coordinator | 2640 Industry Way Ste A, Lynwood, CA 90262-4285 | 2013-05-08 |
| 1578005427 | Juan Pasillas | Case Manager/Care Coordinator | 2640 Industry Way Ste A, Lynwood, CA 90262-4285 | 2016-11-09 |
| 1629523329 | Christina Perez | Case Manager/Care Coordinator | 2640 Industry Way Ste A, Lynwood, CA 90262-4285 | 2016-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619485299 | Karen Michelle Duarte | Student in an Organized Health Care Education/Training Program | 11646 Virginia Ave, Lynwood, CA 90262-3937 | 2018-01-17 |
| 1811518665 | Magali P Sevilla Garcia | Student in an Organized Health Care Education/Training Program | 2594 Industry Way, Lynwood, CA 90262-4015 | 2020-05-04 |
| 1538707138 | Kaylee Kruzan | Student in an Organized Health Care Education/Training Program | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-12-13 |
| 1316583487 | Jacqueline Lopez | Student in an Organized Health Care Education/Training Program | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-11-22 |
| 1588207237 | Luisa Ortega | Student in an Organized Health Care Education/Training Program | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-10-25 |
| 1427691252 | Venita Polonio | Student in an Organized Health Care Education/Training Program | 2620 Industry Way, Lynwood, CA 90262-4024 | 2019-10-24 |
| 1558911487 | Alexis Gregory | Student in an Organized Health Care Education/Training Program | 11705 Deputy Yamamoto Pl, Lynwood, CA 90262-4031 | 2019-09-12 |
| 1538720578 | Kristyn Anderson | Student in an Organized Health Care Education/Training Program | 2640 Industry Way, Lynwood, CA 90262-4284 | 2019-06-20 |
| 1093295156 | Mayra Manuela Medina | Student in an Organized Health Care Education/Training Program | 2640 Industry Way, Lynwood, CA 90262-4284 | 2018-08-17 |
| 1275013625 | Jasmin Barajas | Student in an Organized Health Care Education/Training Program | 2640 Industry Way, Lynwood, CA 90262-4284 | 2018-08-15 |
| Find all providers in LYNWOOD | ||||
Please comment or provide details below to improve the information on MILDRED URRUTIA.
| 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.