KATHLEEN CHAK (NPI# 1356754659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356754659 |
| Entity Type | Individual |
| Full Name | KATHLEEN CHAK |
| Practice Address |
831 E Huntington Dr Ste 101 Monrovia CA 91016-6423 |
| Mailing Address |
26520 Cactus Ave Moreno Valley CA 92555-3927 |
| Practice Telephone | 6263580269 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
831 E HUNTINGTON DR STE 101 |
| City | MONROVIA |
| State | CA |
| Zip Code | 91016-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659914166 | Cynthia Marie Garcia | Behavior Technician | 612 S. Myrtle Ave., Suite 100, Monrovia, CA 91016 | 2019-10-28 |
| 1366096232 | Richard Compton Lamb | Health Educator | 825 S Myrtle Avenue, Monrovia, CA 91016 | 2019-07-30 |
| 1487208450 | Brendan Mai | Behavioral Analyst | 200 W Atara St, Monrovia, CA 91016 | 2019-07-29 |
| 1124672035 | Kathleen Marie Novell | Speech-Language Pathologist | 168 Poinsettia Avenue, Monrovia, CA 91016 | 2019-07-29 |
| 1932675931 | Rainbow Home Inc | Clinic/Center | 917 Monrovista Ave, Unit A, Monrovia, CA 91016 | 2018-10-17 |
| 1386136398 | Anh Van Ly | Physician Assistant | 116 W. Lime Ave, Monrovia, CA 91016 | 2018-06-05 |
| 1447741160 | Vera Lucia Mayorga | Licensed Psychiatric Technician | 816 Bonita St Apt B, Monrovia, CA 91016 | 2018-05-29 |
| 1518484146 | Carolyn Ann Burns | Home Health Aide | 1321 Orange Ave, Monrovia, CA 91016 | 2017-08-24 |
| 1962924357 | Ariela Ettie Emery | Genetic Counselor, MS | 655 East Huntington Drive, Monrovia, CA 91016 | 2017-07-07 |
| 1427578624 | Rebecca Niole Leal | Marriage & Family Therapist | 507 W Foothill Blvd, Monrovia, CA 91016 | 2017-06-20 |
| Find all providers in zip 91016 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518448265 | Jazmin-jean Maddela-chan | Student in an Organized Health Care Education/Training Program | 2426 Rochelle Ave, Monrovia, CA 91016-4940 | 2018-08-21 |
| 1275072241 | Katherine Mary Zimmerman | Student in an Organized Health Care Education/Training Program | 11909 Wonder Ct, Monrovia, MD 21770-8842 | 2017-02-23 |
| 1447612049 | Michelle Meng Lu Ding | Student in an Organized Health Care Education/Training Program | 844 W Colorado Blvd, Monrovia, CA 91016-2518 | 2016-03-23 |
| 1982028338 | Danielle Ashley Montoya | Student in an Organized Health Care Education/Training Program | 902 S. Myrtle Avenue, 2nd Floor, Monrovia, CA 91016 | 2014-02-05 |
| 1528683745 | Lisa Michelle Rahm | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2020-06-12 |
| 1700434024 | Melissa Heather Pelayo | Student in an Organized Health Care Education/Training Program | 184 N Ivy Ave, Monrovia, CA 91016-2220 | 2019-08-29 |
| 1689233884 | Rocio Elizabeth Kang | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-06-11 |
| 1184282519 | Seohyun Joo | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-05-31 |
| 1972160836 | Shant Rising | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave, Monrovia, CA 91016-3427 | 2019-05-24 |
| 1386130359 | Valeria Chirco | Student in an Organized Health Care Education/Training Program | 902 S Myrtle Ave Fl 1, Monrovia, CA 91016-3427 | 2018-07-02 |
| Find all providers in MONROVIA | ||||
Please comment or provide details below to improve the information on KATHLEEN CHAK.
| 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.