KATHLYN LEE MANKAU (NPI# 1073150579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073150579 |
| Entity Type | Individual |
| Full Name | KATHLYN LEE MANKAU |
| Practice Address |
7610 El Cerrito Rd Corona CA 92881-4296 |
| Mailing Address |
1055 E Colorado Blvd Ste 560 Pasadena CA 91106-2380 |
| Practice Telephone | 9512032713 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
7610 EL CERRITO RD |
| City | CORONA |
| State | CA |
| Zip Code | 92881-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| 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 |
|---|---|---|---|---|
| 1730709940 | Pooja Patel | Student in an Organized Health Care Education/Training Program | 3268 Stoneberry Ln, Corona, CA 92882-8383 | 2020-04-17 |
| 1285277657 | Lauren M Diaz | Student in an Organized Health Care Education/Training Program | 5019 104th St, Corona, NY 11368-3126 | 2019-10-18 |
| 1598262925 | Cindy Tawfik Hudson | Student in an Organized Health Care Education/Training Program | 23452 Toronja Corte, Corona, CA 92883-9369 | 2018-04-11 |
| 1922506104 | Katelynn Buckner | Student in an Organized Health Care Education/Training Program | 13755 Woodcrest Ct, Corona, CA 92880-8905 | 2018-01-23 |
| 1619486743 | Jungyoon Yang | Student in an Organized Health Care Education/Training Program | 3348 Clearing Ln, Corona, CA 92882-8360 | 2017-09-20 |
| 1265964779 | Pierre Rodricus Martin | Student in an Organized Health Care Education/Training Program | 23294 Daisy Dr, Corona, CA 92883-7102 | 2017-04-03 |
| 1942732169 | Eddie K Lee | Student in an Organized Health Care Education/Training Program | 5347 97th St, Corona, NY 11368-3031 | 2017-03-28 |
| 1477904944 | Christina Vu | Student in an Organized Health Care Education/Training Program | 712 Mount Whitney Cir, Corona, CA 92879-5970 | 2016-06-27 |
| 1700245735 | Yanet A Bello | Student in an Organized Health Care Education/Training Program | 9702 50th Ave, Corona, NY 11368-2735 | 2016-02-18 |
| 1386011260 | Suraiya Shah | Student in an Organized Health Care Education/Training Program | 9720 57th Ave, Apt 18d, Corona, NY 11368-3543 | 2015-08-27 |
| Find all providers in CORONA | ||||
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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.