HARBOR-UCLA FACULTY PRACTICE PLAN, A MEDICAL GROUP INC. (NPI# 1326142928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326142928 |
| Entity Type | Organization |
| Organization Name | HARBOR-UCLA FACULTY PRACTICE PLAN, A MEDICAL GROUP INC. |
| Practice Address |
21840 Normandie Ave Torrance CA 90502-2047 |
| Mailing Address |
Po Box 30380 Los Angeles CA 90030-0380 |
| Practice Telephone | 3102225015 |
| Practice Fax Number | 3102225027 |
| Mailing Telephone | 3102225015 |
| Mailing Fax Number | 3102225027 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | WILLIAM STRINGER (CHAIR/PRESIDENT) |
| Authorized Official Telephone | 3102225015 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0087290 | 05 |
| Street Address |
21840 NORMANDIE AVE |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598744252 | John Samuel Mcdonald | Anesthesiology | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-01-11 |
| 1609226877 | Prohealth Partners A Medical Group | Dermatology | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2016-06-17 |
| 1174956064 | Riza Grace Nielsen | Nurse Practitioner | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2013-08-14 |
| 1386917169 | Lily Anna Nichols | Dietitian, Registered | 21840 Normandie Ave, Suite 1000, Torrance, CA 90502-2047 | 2012-02-09 |
| 1295029429 | Laura Figueroa-phillips | Pediatrics | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2011-06-06 |
| 1639460322 | Lilliana Po-garcia | Registered Nurse | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2011-04-28 |
| 1972740223 | Youngmee Kim | Registered Nurse | 21840 Normandie Ave, Torrance, CA 90502-2047 | 2009-01-08 |
| 1366548646 | Dilrukshie Cooray | Internal Medicine | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-09-15 |
| 1225131170 | Christina Wang | Internal Medicine | 21840 Normandie Ave, Ste. 700, Torrance, CA 90502-2047 | 2006-09-06 |
| 1235248295 | Tad T Tanoura | Radiology | 21840 Normandie Ave, Ste. 500, Torrance, CA 90502-2047 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| 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 |
|---|---|---|---|---|
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1932505955 | Kayti Anne Corcoran | Specialist | 23105 Madison St, #212, Torrance, CA 90505-3922 | 2014-11-19 |
| 1740685247 | Larry Roberts | Specialist | 23433 Carlow Rd, Torrance, CA 90505-4557 | 2014-10-27 |
| 1205246659 | Sadhana Nayak-young | Specialist | Lac-dmh 1000 W. Carson Street, Box #498, Harbor Ucla Medical Center, Torrance, CA 90502-2004 | 2014-05-06 |
| 1497172332 | Amber Bridges | Specialist | 1000 W. Carson Street, Box 8, Torrance, CA 90509 | 2014-03-27 |
| 1962835504 | Jane Maureen Hamilton | Specialist | 3540 Redondo Beach Blvd, Torrance, CA 90504-1404 | 2013-08-19 |
| 1386903342 | Fred Bacon Rothell | Specialist | 23530 Arlington Ave, D, Torrance, CA 90501-6000 | 2012-05-11 |
| 1801036751 | Lifescape Imaging Cypress LLC | Specialist | 24584 Hawthorne Blvd, Torrance, CA 90505-6807 | 2009-03-04 |
| 1124263108 | Michelle Tawa | Specialist | 1000 W Carson St # 8, Torrance, CA 90502-2004 | 2008-12-05 |
| 1962667147 | Century Therapy Group | Specialist | 3525 Pacific Coast Hwy Ste C, Torrance, CA 90505-6656 | 2008-07-27 |
| Find all providers in TORRANCE | ||||
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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.