ALEXANDER VAN DER HENST-HUERTA


Address: 21120 Dalaman Ave, Lakewood, CA 90715-2114
Phone: 5622755360

ALEXANDER VAN DER HENST-HUERTA (NPI# 1376047928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376047928
Entity Type Individual
Full Name ALEXANDER VAN DER HENST-HUERTA
Practice Address 21120 Dalaman Ave
Lakewood
CA 90715-2114
Practice Telephone 5622755360
Mailing Telephone 5622755360
Enumeration Date 2018-03-20
Last Update Date 2018-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 21120 DALAMAN AVE
City LAKEWOOD
State CA
Zip Code 90715-2114

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437510674 Katie Perez Technician, Other 11907 205 St, Lakewood, CA 90715 2016-03-16
1699171504 Amanda N Mcginnis Dental Hygienist 21001 Dalaman Ave, Lakewood, CA 90715 2014-11-05
1356458020 Ellen L Chen Dentist 20147 S Pioneer Blvd, Lakewood, CA 90715 2006-08-25
1407012958 Suraiya Motala Student in an Organized Health Care Education/Training Program 20215 Village Green Dr, Lakewood, CA 90715-1010 2008-08-04
1881250009 Jennifer Roche-sheets Counselor 20133 Jersey Ave, Lakewood, CA 90715-1047 2019-05-13
1285766253 Woosung Ahn, M.d., Inc Internal Medicine 20145 Pioneer Blvd, Lakewood, CA 90715-1051 2007-03-12
1396807806 Woo Sung Ahn Internal Medicine 20145 S Pioneer Blvd, Lakewood, CA 90715-1051 2006-12-14
1881754489 Candice Yee Chen Dentist 20147 Pioneer Blvd, Lakewood, CA 90715-1051 2006-12-12
1972515195 Younghae Pharmacy Inc Durable Medical Equipment & Medical Supplies 20141 Pioneer Blvd, Lakewood, CA 90715-1051 2006-08-13
1114942711 Ralphs Grocery Company Durable Medical Equipment & Medical Supplies 20137 Pioneer Blvd, Lakewood, CA 90715-1051 2006-07-13
Find all providers in zip 90715

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245839992 Kara Lubieniecki Student in an Organized Health Care Education/Training Program 10445 W Iliff Ave, Lakewood, CO 80227-2024 2020-10-23
1477152817 Molly Dare Bartlett Student in an Organized Health Care Education/Training Program 1606 Yarrow St, Lakewood, CO 80214-6031 2020-10-17
1568079333 Elizabeth Jayne Paddock Student in an Organized Health Care Education/Training Program 7334 W Ohio Ave Apt 208, Lakewood, CO 80226-4986 2020-09-25
1982217089 Jessica Lucero Student in an Organized Health Care Education/Training Program 12997 W Oregon Dr, Lakewood, CO 80228-3756 2020-08-28
1295353761 Shelby Elizabeth Searcy Student in an Organized Health Care Education/Training Program 1233 Granger Ave, Lakewood, OH 44107-2218 2020-07-10
1750906913 Kevin Jaid Alba-torres Student in an Organized Health Care Education/Training Program 6796 W 3rd Ave, Lakewood, CO 80226-1781 2020-06-13
1780213405 Gregory Johnson Student in an Organized Health Care Education/Training Program 534 S Field St, Lakewood, CO 80226-2957 2020-04-04
1891325296 Andrew Leonard Student in an Organized Health Care Education/Training Program 154 S Zang Way Apt 4-104, Lakewood, CO 80228-2044 2020-01-24
1780231696 Zachary Edward Bohn Student in an Organized Health Care Education/Training Program 2212 S Eldridge St, Lakewood, CO 80228-4856 2019-08-25
1245797489 Kyle Allen Carleton Student in an Organized Health Care Education/Training Program 1421 Alameda Ave, Lakewood, OH 44107-4920 2019-02-25
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 90715

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Dataset Information

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.

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