CARL LAURYSSEN MD PROF CORP. (NPI# 1487667002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487667002 |
| Entity Type | Organization |
| Organization Name | CARL LAURYSSEN MD PROF CORP. |
| Practice Address |
8201 Beverly Blvd Ste 405 Los Angeles CA 90048-4505 |
| Mailing Address |
8201 Beverly Blvd Suite 405 Los Angeles CA 90048-4505 |
| Practice Telephone | 3232724678 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | CARL LAURYSSEN (OWNER) |
| Authorized Official Telephone | 3103582490 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
C50914 | CA | Ambulatory Health Care Facilities |
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
8201 BEVERLY BLVD STE 405 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043708860 | Alexander George Chartrain | Neurological Surgery | 1200 N State St # 3300, Los Angeles, CA 90033-1083 | 2018-04-26 |
| 1750732533 | Pacific Neuroscience Institute Medical Group Inc | Neurological Surgery | 11645 Wilshire Boulevard, 6th Floor, Los Angeles, CA 90025-6807 | 2016-06-23 |
| 1568812436 | Walid Ibn Essayed | Neurological Surgery | 525 S Oxford Ave Apt 113, Los Angeles, CA 90020-4219 | 2016-06-21 |
| 1316338767 | Michelle Ariana Wedemeyer | Neurological Surgery | 1200 N State St Ste 3300, Los Angeles, CA 90033-1029 | 2015-02-06 |
| 1912317165 | Lindsey Ross | Neurological Surgery | 127 South San Vicente Boulevard, 6th Floor Ste. A66000, Los Angeles, CA 90048 | 2014-04-28 |
| 1356684948 | Tony Richmond Wang | Neurological Surgery | 300 Stein Plaza Suite 420, Los Angeles, CA 90095-0816 | 2013-04-01 |
| 1467742213 | Richard George Everson | Neurological Surgery | 300 Stein Plaza Ste 420, Los Angeles, CA 90095-8358 | 2011-04-13 |
| 1659605475 | Franklin Westhout | Neurological Surgery | 4197 Marlton Ave, Los Angeles, CA 90008-3519 | 2009-09-25 |
| 1477789881 | Gabriel E Hunt Jr Md Inc A California Professional Medical Co | Neurological Surgery | 444 San Vicente Blvd., 8th Floor, Los Angeles, CA 90048 | 2009-06-01 |
| 1578706693 | Shayan Ur Rahman | Neurological Surgery | 1505 N Edgemont St Fl 4, Los Angeles, CA 90027-5209 | 2009-04-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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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.