POWERPLAY MD (NPI# 1205162013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205162013 |
| Entity Type | Organization |
| Organization Name | POWERPLAY MD |
| Practice Address |
5800 Wilshire Boulevard Los Angeles CA 90036 |
| Practice Telephone | 3102898242 |
| Practice Fax Number | 3102898248 |
| Mailing Telephone | 3102898242 |
| Mailing Fax Number | 3102898248 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |
| Authorized Official Name | DR. LYDIE HAZAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 3102898242 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
A53116 | CA | Dietary & Nutritional Service Providers |
| Street Address |
5800 WILSHIRE BOULEVARD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1033630132 | Ellen Mackenzie Mccloy | Dietitian, Registered | 4650 W Sunset Blvd # 40, Los Angeles, CA 90027-6062 | 2017-06-29 |
| 1366962086 | Lucia Eugenia Briceno | Dietitian, Registered | 4650 W Sunset Blvd # 8, Los Angeles, CA 90027-6062 | 2017-06-23 |
| 1912427972 | Esther Berenhaut | Dietitian, Registered | 4650 W Sunset Blvd # Ms 40, Los Angeles, CA 90027-6062 | 2017-06-21 |
| 1518312628 | Monika Ressel | Dietitian, Registered | 200 Medical Plz Ste 265, Los Angeles, CA 90095-0001 | 2016-04-26 |
| 1972843597 | Elizabeth Anne Scott | Dietitian, Registered | 4650 Sunset Blvd, Mailstop 78, Los Angeles, CA 90027 | 2013-02-19 |
| 1124326855 | Nicole Ferguson Maharaj | Dietitian, Registered | 12518 Rose Ave, Los Angeles, CA 90066-1518 | 2011-03-03 |
| 1437785276 | Mark William Spielmann | Dietitian, Registered | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-03-12 |
| 1841764479 | Amy Gay Sacapano | Dietitian, Registered | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2019-01-16 |
| 1750855383 | Andrea Christine Fitzgerald | Dietitian, Registered | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2019-01-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
Please comment or provide details below to improve the information on POWERPLAY MD.
| 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.