LAILA I MUDERSPACH (NPI# 1306841648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306841648 |
| Entity Type | Individual |
| Full Name | LAILA I MUDERSPACH |
| Credential | M.D. |
| Practice Address |
1516 San Pablo St Los Angeles CA 90033-5313 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 3232763705 |
| Mailing Telephone | 3232763705 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G57989 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
G57989 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1516 SAN PABLO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085122 | Marzette Jennifer Solis | Nurse Practitioner | 1516 San Pablo St, Los Angeles, CA 90033-5313 | 2020-08-25 |
| 1447875224 | Adam Paul Pena | Student in an Organized Health Care Education/Training Program | 1516 San Pablo St, Los Angeles, CA 90033-5313 | 2020-06-08 |
| 1073052049 | Jennifer K. Wisse | Nurse Practitioner | 1516 San Pablo St, Los Angeles, CA 90033-5313 | 2017-02-23 |
| 1669477782 | Jennifer J Israel | Obstetrics & Gynecology | 1516 San Pablo St, Los Angeles, CA 90033-5313 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
| 1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
| 1144424615 | Yvonne Gail Lin-liu | Obstetrics & Gynecology | 1441 Eastlake Ave # 7419, Los Angeles, CA 90089-0112 | 2007-06-11 |
| 1912919200 | James M Heaps | Obstetrics & Gynecology | 100 Ucla Medical Plz Ste 383, Los Angeles, CA 90024-6992 | 2006-08-13 |
| 1780630095 | Michael Richard Manuel | Obstetrics & Gynecology | 1513 S Grand Ave, Suite 400, Los Angeles, CA 90015-3070 | 2006-05-26 |
| 1588298442 | Eijean Wu, Md, Mpp, A Professional Corporation | Obstetrics & Gynecology | 1300 N Vermont Ave Ste 1001, Los Angeles, CA 90027-6098 | 2020-02-28 |
| 1295189470 | Anjali Hari | Obstetrics & Gynecology | 757 Westwood Plz Rm B-711, Los Angeles, CA 90095-8358 | 2016-04-14 |
| 1073911657 | Michael R Manuel, Md, A Professional Corporation | Obstetrics & Gynecology | 1513 S Grand Ave, Suite 400, Los Angeles, CA 90015-3070 | 2014-12-12 |
| 1437491776 | Tiffany Lai | Obstetrics & Gynecology | 757 Westwood Plz, Los Angeles, CA 90095-7419 | 2013-03-25 |
| 1396024600 | Eijean Wu | Obstetrics & Gynecology | 1300 N Vermont Ave Ste 1001, Los Angeles, CA 90027 | 2011-08-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| 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.