LUIS PALACIOS (NPI# 1114125754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114125754 |
| Entity Type | Individual |
| Full Name | LUIS PALACIOS |
| Practice Address |
3828 Delmas Ter Culver City CA 90232-2713 |
| Mailing Address |
9808 Venice Blvd Ste 700 Culver City CA 90232-6824 |
| Practice Telephone | 3102539494 |
| Mailing Telephone | 3109453350 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487614392 | Luis Palacios | Family Medicine | 6243 Retail Rd, Dallas, TX 75231-7808 | 2006-03-24 |
| Street Address |
3828 DELMAS TER |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137712 | Robert Rosenbloom | Emergency Medicine | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2005-07-08 |
| 1528687928 | Josephine Hunt-korn | Physical Therapist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2020-04-15 |
| 1679109862 | Emily Rueter | Occupational Therapist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2020-03-19 |
| 1952946956 | Amelle Joseph Baptiste Porter | Psychiatry & Neurology | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2019-11-13 |
| 1235601642 | Michael Yee | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2018-12-23 |
| 1518465061 | Jill Chang | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2018-01-30 |
| 1497290092 | Teresa Lo | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2017-01-05 |
| 1124498571 | Khatoun Yazdannejad | Registered Nurse | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-09-29 |
| 1104203231 | Phuong Tran | General Acute Care Hospital | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-04-27 |
| 1053704668 | Olen Henry | Registered Nurse | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1497107098 | Joselyn Valle | Rehabilitation Practitioner | 12099 W Washignton Ave., Suite 200, Culver City, CA 90066 | 2016-07-07 |
| 1285864934 | Jennifer C Graham | Rehabilitation Practitioner | 9808 Venice Blvd Ste 702, Culver City, CA 90232-6807 | 2009-07-15 |
| 1356590210 | Lauren T Martin | Rehabilitation Practitioner | 5950 Canterbury Dr Apt C104, 5950 Canterbury Drive #c104, Culver City, CA 90230-6715 | 2008-09-16 |
| 1902016421 | Lance S. Moore | Rehabilitation Practitioner | 6400 Green Valley Cir Apt 302, Culver City, CA 90230-7008 | 2007-05-23 |
| 1154456572 | Hao The Nguyen | Rehabilitation Practitioner | 11704 Braddock Dr, Culver City, CA 90230-5161 | 2007-02-23 |
| 1740881978 | Chastity Tillman | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-11-04 |
| 1255930566 | Stephanie Cordon-morales | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-10-19 |
| 1477160711 | Rossmery Salgado | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-30 |
| 1134733306 | Monica Alcaraz | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-03 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
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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.