DR. EDNA SOPHIA MERCORIOS (NPI# 1467593087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467593087 |
| Entity Type | Individual |
| Full Name | DR. EDNA SOPHIA MERCORIOS |
| Credential | PSY.D. |
| Practice Address |
3875 S Western Ave Los Angeles CA 90062-1105 |
| Mailing Address |
Po Box 10713 Marina Del Rey CA 90295-6713 |
| Practice Telephone | 3232904352 |
| Practice Fax Number | 3232933327 |
| Mailing Telephone | 3106123686 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY17011 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3875 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90062-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648588 | Sarita Mallya | Psychiatry & Neurology | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2005-12-02 |
| 1811596943 | Katherine Ha | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2020-10-20 |
| 1982239091 | Raul Gordon | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2020-03-09 |
| 1164069787 | Aminta Yesenia Amaya | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2019-12-02 |
| 1740841949 | Alissa Megan Bolen-ramos | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2019-06-27 |
| 1700440039 | Alexis D Medina | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2019-04-22 |
| 1205306230 | Raven C Fleming | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062-1105 | 2018-12-03 |
| 1922588227 | Doraluz Rosas | Licensed Vocational Nurse | 3875 S Western Ave, Los Angeles, CA 90062 | 2018-08-16 |
| 1841779535 | Clayton Deewitt Hendrix | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062 | 2018-08-13 |
| 1750741070 | Johnny Gutierrez | Case Manager/Care Coordinator | 3875 S Western Ave, Los Angeles, CA 90062 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| 1083194773 | Day One Detox Center, Inc | Substance Abuse Rehabilitation Facility | 1421 W 46th St, Los Angeles, CA 90062 | 2018-08-21 |
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1033535794 | Trusana Monique Hall | Licensed Vocational Nurse | 4103 S. Halldale Ave, Los Angeles, CA 90062 | 2014-03-05 |
| 1093139644 | Daniel Garcia | Rehabilitation Practitioner | 3381 Western Ave., Los Angeles, CA 90062 | 2014-02-18 |
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1184902934 | Gerry Lynn Lockhart | Case Manager/Care Coordinator | 3881 S Western Avenue, Los Angeles, CA 90062 | 2011-07-28 |
| 1285921692 | Atlantic Recovery Services | Community/Behavioral Health | 1701 Browning Street, Los Angeles, CA 90062 | 2011-07-06 |
| 1174796452 | Tacora Leggett | Counselor | 5311 S Western Avenue, Los Angeles, CA 90062 | 2008-04-08 |
| Find all providers in zip 90062 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90062 |
Please comment or provide details below to improve the information on DR. EDNA SOPHIA MERCORIOS.
| 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.