POLICARPOI F ENRIQUEZ


Address: 1711 W Temple St, Suite 3280, Los Angeles, CA 90026
Phone: 9098698461

POLICARPOI F ENRIQUEZ (NPI# 1205945029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205945029
Entity Type Individual
Full Name POLICARPOI F ENRIQUEZ
Credential MD
Practice Address 1711 W Temple St
Suite 3280
Los Angeles
CA 90026
Mailing Address 19365 E Pacific Oak Place
Rowland Heights
CA 91748
Practice Telephone 9098698461
Mailing Telephone 9098698461
Enumeration Date 2006-08-29
Last Update Date 2014-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice A31559 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A3155900 05

Office Location

Street Address 1711 W TEMPLE ST
SUITE 3280
City LOS ANGELES
State CA
Zip Code 90026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730178369 Elisabeth Sunghee Youn Podiatrist 1711 W Temple St, Suite 5606, Los Angeles, CA 90026-5421 2005-10-17
1033720909 Lacresiha Geeter Registered Nurse 1711 W Temple St, Los Angeles, CA 90026-7329 2020-08-13
1225656770 Mika Tavai Licensed Vocational Nurse 1711 W Temple St, Los Angeles, CA 90026-5421 2020-07-10
1285275263 Chen Sun Registered Nurse 1711 W Temple St, Los Angeles, CA 90026-5421 2019-10-01
1407403439 Leanna Lynn Ramirez Licensed Psychiatric Technician 1711 W Temple St, Los Angeles, CA 90026-5421 2019-08-23
1518514199 Albert Martinez Behavior Technician 1711 W Temple St, Los Angeles, CA 90026-5421 2019-08-20
1063066140 Pinky Jane Bartolome Biag Registered Nurse 1711 W Temple St, Los Angeles, CA 90026-5421 2019-07-28
1982260899 Anthony Samaan Student in an Organized Health Care Education/Training Program 1711 W Temple St, Los Angeles, CA 90026-5421 2019-05-15
1154802346 Wk Md Medical Group Inc Family Medicine 1711 W Temple St, Los Angeles, CA 90026-5421 2018-08-24
1437654589 Katayoun Abtin Student in an Organized Health Care Education/Training Program 1711 W Temple St, Los Angeles, CA 90026-5421 2018-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497305684 Mieshia Gaston Technician 831 Lucile Ave, 201, Los Angeles, CA 90026 2019-09-19
1265902928 Shivangi Amin Md, Inc Family Medicine 701 N Alvarado St Fl 1, Los Angeles, CA 90026 2018-11-26
1013402478 Guillermo Gonzalez Lopez Social Worker La Cada, 1773 Griffith Park, Los Angeles, CA 90026 2018-06-28
1720504343 Nadia Jocelyn Munoz Counselor 155 N. Occidental Blvd., Los Angeles, CA 90026 2017-08-15
1518489434 Paul Keeley Marriage & Family Therapist 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 2017-07-12
1326598079 Yen-chen Chen Speech-Language Pathologist 2836 Sunset Blvd., Los Angeles, CA 90026 2016-10-06
1386038446 Grace Ann M Navos Physical Therapy Assistant 2708 Glassell St, Los Angeles, CA 90026 2015-03-26
1578964227 Giselle Louise Jones Social Worker 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 2014-09-12
1619394160 Mary Ann Flores Topico Nurse Practitioner 1379 Angelina St., Los Angeles, CA 90026 2014-03-22
1447674981 Tribeca Pediatrics, PC Pediatrics 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 2014-02-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1104470384 Chan Family Medical Corp General Practice 4070 E. Olympic Blvd, Los Angeles, CA 90023 2019-07-26
1972064004 Divine Help Medical Group Inc General Practice 1711 W Temple St Unit 5613, Los Angeles, CA 90026-5421 2019-03-29
1942767801 Plaza Health Services Inc. General Practice 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 2019-02-27
1124536289 Edward Meltser General Practice 469 N Alfred St, Los Angeles, CA 90048-2504 2018-01-11
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Competitor

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City LOS ANGELES
Zip Code 90026

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Dataset Information

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.

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