KIMBERLEY LUDLOW (NPI# 1215140629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215140629 |
| Entity Type | Individual |
| Full Name | KIMBERLEY LUDLOW |
| Credential | M.D. |
| Practice Address |
5203 Lakewood Blvd Lakewood CA 90712-2415 |
| Mailing Address |
7300 Alondra Blvd Ste 101 Paramount CA 90723-4000 |
| Practice Telephone | 5626332273 |
| Practice Fax Number | 5626331796 |
| Mailing Telephone | 5625318300 |
| Mailing Fax Number | 5625318035 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A40146 | CA | Other Service Providers |
| Street Address |
5203 LAKEWOOD BLVD |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063578110 | Craig John Carbonniere Sr. | Physician Assistant | 5203 Lakewood Blvd, Lakewood, CA 90712-2438 | 2006-12-30 |
| 1558926428 | Florabel Reynoso | Physical Therapy Assistant | 5203 Lakewood Blvd, Suite B, Lakewood, CA 90712 | 2019-05-07 |
| 1548507239 | Ehab Samaan Dds,inc | Dentist | 5203 Lakewood Blvd, Lakewood, CA 90712-2438 | 2013-01-15 |
| 1629312947 | Dr.samaan Dental Group | Dentist | 5203 Lakewood Blvd, Lakewood, CA 90712-2438 | 2012-11-27 |
| 1417226804 | Back To Work Orthopedic Medical Group | Preferred Provider Organization | 5203 Lakewood Blvd, Lakewood, CA 90712-2438 | 2011-12-14 |
| 1811042351 | Southern California Immediate Medical Center | Family Medicine | 5203 Lakewood Blvd, Lakewood, CA 90712-2415 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| 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 |
|---|---|---|---|---|
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
| 1790275857 | Sarah Freidman | Specialist | 371 Hope Chapel Rd, Lakewood, NJ 08701-2373 | 2018-05-15 |
| 1932639051 | Nj Mobile Medical, PC | Specialist | 105 River Ave Ste 103, Lakewood, NJ 08701-4267 | 2017-06-13 |
| 1104372168 | Shoshana Klein | Specialist | 128 Liberty Dr, Lakewood, NJ 08701-4137 | 2016-08-30 |
| 1467803601 | Allison Chancellor | Specialist | 467 S Reed Ct, Lakewood, CO 80226-3322 | 2016-06-29 |
| 1568811503 | Sora Zucker | Specialist | 38 Dena Ct, Lakewood, NJ 08701-3591 | 2016-06-10 |
| 1831559285 | Asia R Lundquist | Specialist | 8520 Steilacoom Blvd Sw Ste 101, Lakewood, WA 98498-4773 | 2016-02-28 |
| 1649640145 | Alejandra Martinez | Specialist | 7650 W Virginia Ave, Suite B, Lakewood, CO 80226-3131 | 2015-09-28 |
| 1225406127 | Chana Neustadt | Specialist | 154 Tudor Ct, Lakewood, NJ 08701-1471 | 2015-09-09 |
| 1194107979 | Suri Englard | Specialist | 38 Eagle Ln, Lakewood, NJ 08701-4967 | 2015-06-29 |
| Find all providers in LAKEWOOD | ||||
Please comment or provide details below to improve the information on KIMBERLEY LUDLOW.
| 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.