DR. JOSEPH RUDISON (NPI# 1073543815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073543815 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH RUDISON |
| Credential | M.D. |
| Practice Address |
9014 S Broadway Los Angeles CA 90003-3631 |
| Mailing Address |
9014 S.broadway Los Angeles CA 90003 |
| Practice Telephone | 3237551155 |
| Practice Fax Number | 3237773102 |
| Mailing Telephone | 3237551155 |
| Mailing Fax Number | 3237773102 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 00A157960 | CA | Other Service Providers |
| Street Address |
9014 S BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952856205 | Sana Alexandrovna Nodelman | Medical Genetics, Ph.D. Medical Genetics | 7224 Hillside Ave, 26, Los Angeles, CA 90046-2359 | 2016-08-16 |
| 1679655203 | Aramais Paronyan | Medical Genetics, Ph.D. Medical Genetics | 5220 Santa Monica Blvd Ste E, Los Angeles, CA 90029-1234 | 2006-10-20 |
| 1881145266 | Hane Lee | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, Los Angeles, CA 90095-1732 | 2016-10-20 |
| 1285009027 | Samuel Strom | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2015-12-04 |
| 1932419975 | Anna H. Wu | Medical Genetics, Ph.D. Medical Genetics | 1441 Eastlake Ave, 4443, Los Angeles, CA 90089-0112 | 2010-10-08 |
| 1801095435 | Nagesh P Rao | Medical Genetics, Ph.D. Medical Genetics | 1000 Veteran Ave, Room 22-26 Rehab Bldg, Ucla Cytogenetics Laboratory, Los Angeles, CA 90024-2704 | 2007-07-13 |
| 1902003478 | Kenneth E Wolf | Medical Genetics, Ph.D. Medical Genetics | 12021 Wilmington Ave, Los Angeles, CA 90059-3019 | 2007-06-28 |
| 1306049440 | Tommy Eugene Howard | Medical Genetics, Ph.D. Medical Genetics | 11301 Wilshire Blvd Bldg 500, Dept. of Pathology & Laboratory Medicine, Los Angeles, CA 90073-1003 | 2007-06-07 |
| 1447300504 | Robert A Glazer | Medical Genetics, Ph.D. Medical Genetics | 5250 Santa Monica Blvd, Suite 208, Los Angeles, CA 90029-1252 | 2007-01-11 |
| 1861583353 | Christina Germaine Palmer | Medical Genetics, Ph.D. Medical Genetics | 10833 Le Conte Ave, 12-441 Mdcc, Los Angeles, CA 90095-3075 | 2006-09-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
Please comment or provide details below to improve the information on DR. JOSEPH RUDISON.
| 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.