MISS OLIVIA KWINN (NPI# 1124407705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124407705 |
| Entity Type | Individual |
| Full Name | MISS OLIVIA KWINN |
| Practice Address |
902 S Myrtle Ave Monrovia CA 91016-3427 |
| Mailing Address |
5516 Jasper St Alta Loma CA 91701-1922 |
| Practice Telephone | 6263573258 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| 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 |
| Street Address |
902 S MYRTLE AVE |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447360730 | Pacific Clinics | Community/Behavioral Health | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2006-08-30 |
| 1871109025 | Carrie Kathleen Reynolds | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-09-22 |
| 1861000622 | Bethany Grace Ferguson | Rehabilitation Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-07-17 |
| 1528683745 | Lisa Michelle Rahm | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-06-12 |
| 1932730454 | Ezra Robert Nordin Dureault | Licensed Psychiatric Technician | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-02-03 |
| 1063059681 | Erlinda Uribe | Licensed Psychiatric Technician | 902 S Myrtle Ave, Monrovia, CA 91016 | 2019-12-02 |
| 1124662994 | Dominic Gerald Villanueva | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-11-04 |
| 1215571484 | Lisa Donerson | Licensed Vocational Nurse | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-10-31 |
| 1912541301 | Marian Girgis | Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-10-30 |
| 1558923029 | Sahran Abena Hamit | Rehabilitation Counselor | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| 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 |
|---|---|---|---|---|
| 1023574647 | Jacqueline Garcia-leon | Rehabilitation Practitioner | 331 E Colorado Blvd, Monrovia, CA 91016-2901 | 2019-02-19 |
| 1376825372 | Sandra Viviana Garzon | Rehabilitation Practitioner | 902 South Myrle Ave., Monrovia, CA 91016-5968 | 2011-09-15 |
| 1801053533 | Heather Elizabeth Jett | Rehabilitation Practitioner | 902 S. Myrtle Ave, Pacific Clinics, Monrovia, CA 91016-3427 | 2008-05-20 |
| 1649493156 | Marcus D Mitchell | Rehabilitation Practitioner | 513 E Lime Ave # 101, Monrovia, CA 91016-2982 | 2007-04-11 |
| 1568595445 | Dianna Y Martinez | Rehabilitation Practitioner | 513 E Lime Ave, Suite 101, Monrovia, CA 91016-2982 | 2007-03-13 |
| 1013042720 | Earvin Miller Baker | Rehabilitation Practitioner | 205 W Central Ave Apt D, Monrovia, CA 91016-7920 | 2007-02-22 |
| 1265773121 | Joseph Montano | Rehabilitation Practitioner | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2013-03-01 |
| 1598011322 | Linda Rizo | Rehabilitation Practitioner | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2012-07-30 |
| 1316239403 | Ayako Tokuda | Rehabilitation Practitioner | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2011-05-06 |
| 1073742540 | Elizabeth Elena Alusha | Rehabilitation Practitioner | 902 S Myrtle Ave Fl 2, Monrovia, CA 91016-3427 | 2009-07-06 |
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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.