LAURA MONICA MANOSALVA VARGAS


Address: 11301 Wilshire Blvd, Bldg.500, Nsgy Suite 6664, Los Angeles, CA 90073
Phone: 3104783711

LAURA MONICA MANOSALVA VARGAS (NPI# 1063078897) 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) 1063078897
Entity Type Individual
Full Name LAURA MONICA MANOSALVA VARGAS
Other Name LAURA MONICA VARGAS
Credential PA-C
Practice Address 11301 Wilshire Blvd
Bldg.500, Nsgy Suite 6664
Los Angeles
CA 90073
Mailing Address 4175 W Broadway Apt C
Hawthorne
CA 90250-4097
Practice Telephone 3104783711
Mailing Telephone 5612132902
Enumeration Date 2019-05-16
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
56793 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11301 WILSHIRE BLVD
BLDG.500, NSGY SUITE 6664
City LOS ANGELES
State CA
Zip Code 90073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295739043 Mark S Horng Internal Medicine 11301 Wilshire Blvd, 10-c-1, Los Angeles, CA 90073-1003 2005-06-09
1720685944 Sara Magdalin Dietitian, Registered 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-10-01
1336750223 Nathalie Esther Halajian Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-08-13
1811508344 Hillary Xanthe Enclade Speech-Language Pathologist 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-08-10
1356950919 Maren Abromowitz Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-29
1285243030 Alyson Prince Shittu Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-28
1124637087 Soheil Kooraki Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-27
1376152371 Ynez Sabio Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-24
1154949972 Leah Effron Registered Nurse 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-07-08
1972120988 Justin Man Truong Pharmacist 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 2020-06-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184223851 Emily Jenchura Psychologist 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 2020-10-22
1184285090 Marcela Leticia Orellana Galvez Podiatrist 11301 Wilshire Blvd Bldg 500, Dept of Surgery, #10-h-2, Los Angeles, CA 90073 2019-06-23
1508310996 Jennifer Maravola Student in an Organized Health Care Education/Training Program 11303 Wilshire Bl. Bdg 116, New Direction Inc., Los Angeles, CA 90073 2016-08-15
1861859480 Michael Fisher Student in an Organized Health Care Education/Training Program 11303 Willshire Blv., V.a. Building 116, Los Angeles, CA 90073 2016-01-27
1629453295 Christopher Denzel Lewis Student in an Organized Health Care Education/Training Program 11303 Wilshire Blvd., Va Bldg. 116, Los Angeles, CA 90073 2015-07-24
1689089179 Rachel Stannus Social Worker 11303 Wilshire Blvd, Bldg116, Los Angeles, CA 90073 2014-06-24
1215355433 Michael Francis Zito Psychiatry & Neurology 11301 Wilshire Blvd Bldg 210a, Los Angeles, CA 90073 2014-04-03
1831523901 Sarah Arensman Miller Psychologist 11301 Wilshire Blvd. Bldg 256, Rm 106a, Va West Los Angeles (116b), Los Angeles, CA 90073 2013-08-26
1134447733 Stuart Thomas Yee Physical Medicine & Rehabilitation 11301 Wilshire Blvd. Mail Code 117, Los Angeles, CA 90073 2010-05-07
1306177654 Pete Petriashvili Student in an Organized Health Care Education/Training Program 11301 Wilshire Blvd, Building 500, Room 4455, Los Angeles, CA 90073 2010-01-27
Find all providers in zip 90073

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023390606 Emily Elizabeth Talmich Physician Assistant 1450 San Pablo St # 6200, Los Angeles, CA 90033-5331 2011-09-09
1891089892 Claudia G Pierola Physician Assistant 12311 Pacific Ave Apt 5, Los Angeles, CA 90066-4421 2011-06-07
1124280987 Sue Kim Physician Assistant 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 2008-07-01
1699948596 Christopher Tatum Physician Assistant 637 S Lucas Ave, Fl 1, Los Angeles, CA 90017 2008-04-11
1194848457 Sebastian Fuentes Physician Assistant 2200 W 3rd St Ste 300, Los Angeles, CA 90057-1936 2007-04-09
1245396092 Patricia Delcarmen Jimenez Physician Assistant 1718 Hollyvista Ave, Los Angeles, CA 90027-4626 2006-12-28
1548736903 Jocelyn Choy Physician Assistant 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 2018-10-23
1457839649 Kareem Sharaf Physician Assistant 757 Westwood Plz, Los Angeles, CA 90095-8358 2018-07-31
1689166787 Lennie Thanh Ho Ngo Physician Assistant 1225 Wilshire Blvd, Los Angeles, CA 90017 2018-06-04
1386136513 Jie Zhuang Kwok Physician Assistant 1505 N Edgemont St Fl 4, Los Angeles, CA 90027 2018-06-04
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Competitor

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City LOS ANGELES
Zip Code 90073

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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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