JOSE CORDERO (NPI# 1215447768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215447768 |
| Entity Type | Individual |
| Full Name | JOSE CORDERO |
| Credential | CADC-II |
| Practice Address |
2010 Lincoln Park Ave Los Angeles CA 90031-3119 |
| Mailing Address |
14153 Whispering Sands Dr Victorville CA 92392-5000 |
| Practice Telephone | 3232221440 |
| Mailing Telephone | 3232452221 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AII056390518 | CA | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
168837I | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14371 Clark Ave, Bellflower, CA 907062901 | 5628677999 | |
| 1100 N D St, San Bernardino, CA 924103524 | 9098840840 | |
| 2010 Lincoln Park Ave, Los Angeles, CA 900313119 | 3232221440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427409184 | Jose Manuel Cordero | Non-emergency Medical Transport (VAN) | 400 Gran Bahama Blvd, Apt 10202, Davenport, FL 33897-8322 | 2016-06-23 |
| 1376698472 | Jose Waldemar Cordero | Dentist | San German Medical Plaza #208, Carr. #2 Km. 174.0, San German, PR 00683 | 2007-01-25 |
| 1528002789 | Jose Cordero | Internal Medicine | Calle 3b-19 Urb. Flamboyan, Manati, PR 00674 | 2006-06-16 |
| 1720690449 | Jose Antonio Cordero | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2020-08-24 |
| 1528268943 | Jose Fernando Cordero | Pediatrics | 2320 Perimeter Park Dr, Atlanta, GA 30341-1317 | 2007-07-23 |
| Street Address |
2010 LINCOLN PARK AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780019372 | Gary George Horejsi | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2013-09-13 |
| 1235745639 | Rene Montijo | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2020-09-21 |
| 1174136824 | Kassidy James | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2020-08-24 |
| 1235752965 | Desarai La Boy | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2020-05-28 |
| 1811534217 | Nichole Anderson | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-12-04 |
| 1285279778 | Gerardo Barraza Jr. | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-11-08 |
| 1801431317 | Gina Lynn Crotts | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-11-08 |
| 1811548936 | Felix Del Prado | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-09-20 |
| 1235791864 | Jason Rodriguez | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-07-03 |
| 1508427055 | Liliana Elizabeth Arevalo | Marriage & Family Therapist | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
Please comment or provide details below to improve the information on JOSE CORDERO.
| 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.