DR. LOUIS KENNETH COUNTRYMAN (NPI# 1184612327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184612327 |
| Entity Type | Individual |
| Full Name | DR. LOUIS KENNETH COUNTRYMAN |
| Credential | M.D. |
| Practice Address |
375 Huntington Dr # D San Marino CA 91108-2357 |
| Practice Telephone | 6262879611 |
| Practice Fax Number | 6267992904 |
| Mailing Telephone | 6262879611 |
| Mailing Fax Number | 6267992904 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G5963 | CA | Other Service Providers |
| Street Address |
375 HUNTINGTON DR # D |
| City | SAN MARINO |
| State | CA |
| Zip Code | 91108-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568846566 | Diamond Vision Institute | Ophthalmology | 375 Huntington Dr, Suite E, San Marino, CA 91108-2357 | 2015-07-20 |
| 1467886507 | Karl Von Tiehl, Md, Inc. | Clinic/Center | 375 Huntington Dr, Suite C, San Marino, CA 91108-2357 | 2013-08-26 |
| 1659704286 | Emily Hortenstine Mcdowell | Physician Assistant | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2013-08-19 |
| 1831322148 | Mu-chien Chiang | Internal Medicine | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2009-09-02 |
| 1013165869 | Karl Friedrich Vontiehl | Allergy & Immunology | 375 Huntington Dr, Suite C, San Marino, CA 91108-2357 | 2008-09-05 |
| 1124274998 | Jeffrey Huang | Ophthalmology | 375 Huntington Dr, Suite D, San Marino, CA 91108-2357 | 2008-08-13 |
| 1588832448 | Mitchell C Latter M D Inc A Prof Corp | Ophthalmology | 375 Huntington Dr, Suite F, San Marino, CA 91108-2357 | 2008-02-13 |
| 1417003831 | Huntington Medical Foundation | Internal Medicine | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2007-01-26 |
| 1649371832 | Asif Mahmood | Internal Medicine | 375 Huntington Dr, E, San Marino, CA 91108-2357 | 2006-09-26 |
| 1063433019 | Buy Well Inc | Pharmacy | 375 Huntington Dr, San Marino, CA 91108-2357 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781808 | Bhc Alhambra Hospital, Inc. | Psychiatric Residential Treatment Facility | 1925 Lombardy Road, San Marino, CA 91108 | 2019-07-12 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1649729831 | Harvey A Luu | Dentist | 1085 Winston Ave, San Marino, CA 91108 | 2016-09-28 |
| 1629438643 | Ellen Marie Tan | Marriage & Family Therapist | 1625 So. Chelsea Rd. Ellen M. Tan, Mft, San Marino, CA 91108 | 2016-03-03 |
| 1144696592 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 375 Huntington Dr. Ste. D, San Marino, CA 91108 | 2015-08-19 |
| 1386068237 | Dorothy Agnes Mcvann | General Practice | 764 Winston Ave., San Marino, CA 91108 | 2014-02-13 |
| 1215372040 | Doctors Choice Medical Group | Exclusive Provider Organization | 2295-a Huntington Drive, San Marino, CA 91108 | 2013-05-07 |
| 1831449222 | Apcn-aco, A Medical Professional Corp | Exclusive Provider Organization | 2360 Huntington Drive #201, C/o Mso, Inc. of Southern California, San Marino, CA 91108 | 2012-09-13 |
| 1538499777 | Elsa Busch | Psychologist | 1420 Ridgeway Rd, San Marino, CA 91108 | 2010-01-11 |
| Find all providers in zip 91108 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508109182 | John W.c. Wong | Specialist | 1613 Chelsea Rd # 803, San Marino, CA 91108-2419 | 2013-04-01 |
| 1437328689 | Roberto Tostado | Specialist | 956 Huntington Dr, San Marino, CA 91108-1825 | 2008-02-21 |
| 1689726051 | Rebeca P. Willis | Specialist | 2304 Huntington Dr, 254, San Marino, CA 91108-2649 | 2007-01-17 |
| 1295934792 | Paul Tc Liu Md, Inc | Specialist | 2233 Huntington Dr, Suite 10, San Marino, CA 91108-2655 | 2007-07-13 |
| 1093787178 | Lorna Blanco | Specialist | 375 Huntington Dr, Suite G, San Marino, CA 91108-2357 | 2006-02-03 |
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|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | SAN MARINO |
| Zip Code | 91108 |
Please comment or provide details below to improve the information on DR. LOUIS KENNETH COUNTRYMAN.
| 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.