TAWNEY FREEMAN (NPI# 1386267896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386267896 |
Entity Type | Individual |
Full Name | TAWNEY FREEMAN |
Credential | PA |
Practice Address |
11611 San Vicente Blvd Los Angeles CA 90049-5106 |
Mailing Address |
695 S Santa Fe Ave Apt 644 Los Angeles CA 90021-1316 |
Practice Telephone | 3235222222 |
Mailing Telephone | 9182320900 |
Enumeration Date | 2020-05-19 |
Last Update Date | 2020-10-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
58450 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11611 SAN VICENTE BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90049-5106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568572618 | Maurice Darvish | Specialist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2006-08-30 |
1497399109 | Corey Lin | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2019-11-05 |
1316417363 | Tony C Dang | Physical Therapist | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2018-12-03 |
1861920258 | Haley O'neel Cutting | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2017-05-30 |
1831553734 | Guita Cohen | Chiropractor | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2016-04-07 |
1912368358 | Bvm Therapy Inc. | Clinic/Center | 11611 San Vicente Blvd, #gf1, Los Angeles, CA 90049-5106 | 2016-03-13 |
1588021158 | Caligenix PC | Clinic/Center | 11611 San Vicente Blvd, Ste L1, Los Angeles, CA 90049-5106 | 2016-01-27 |
1811370349 | Azita Zavari | Dental Hygienist | 11611 San Vicente Blvd, Suite L-1, Los Angeles, CA 90049 | 2015-07-01 |
1003238346 | Vision To Learn | Optometrist | 11611 San Vicente Blvd, Suite 500, Los Angeles, CA 90049-5106 | 2014-01-06 |
1265726665 | Ashley Winter Greer | Physician Assistant | 11611 San Vicente Blvd, Los Angeles, CA 90049-5106 | 2011-06-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
Find all providers in zip 90049 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90049 |
Please comment or provide details below to improve the information on TAWNEY FREEMAN.
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.