VICTORIA GANTAR


Address: 808 W 58th St, Los Angeles, CA 90037-3632
Phone: 3235411600

VICTORIA GANTAR (NPI# 1497125272) 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) 1497125272
Entity Type Individual
Full Name VICTORIA GANTAR
Credential C.R.T (R)(M)(F)
Practice Address 808 W 58th St
Los Angeles
CA 90037-3632
Mailing Address 526 E Maple Ave
El Segundo
CA 90245-2424
Practice Telephone 3235411600
Mailing Telephone 7012133648
Enumeration Date 2015-10-06
Last Update Date 2015-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2471C3402X Radiologic Technologist
Specialization: Radiography
RHM00069343 CA Technologists, Technicians & Other Technical Service Providers
Y 2471M2300X Radiologic Technologist
Specialization: Mammography
RHM00069343 CA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 808 W 58TH ST
City LOS ANGELES
State CA
Zip Code 90037-3632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356457550 Adrienne L Hurley Physician Assistant 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 2006-08-21
1942808654 Kaitlynn Menjo Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-10-14
1508471723 Elizabeth Reyes Social Worker 808 W 58th St, Los Angeles, CA 90037-3632 2020-09-14
1639788185 Gina Hyung-jin Kim Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-07-29
1578189262 Laorence Wassom Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-06-18
1780210807 Jesica Viviana Cardiel Counselor 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-20
1184250144 Vernica Neche Foots Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-20
1528694957 Audra Wong Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-17
1558996579 Natalie Drorbaugh Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-03-10
1083248942 Carly Rose Devirian Nurse Practitioner 808 W 58th St, Los Angeles, CA 90037-3632 2020-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871119701 Carina Lizette Guerra Nurse Practitioner St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 2020-06-16
1114556263 Arm 4 Arm Foundation Clinic/Center 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 2020-04-01
1407329766 Lucidite Sleep Laboratory & Treatment Center Inc Clinic/Center 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 2019-01-09
1013491505 Nancy Sandoval Social Worker 644 W 42nd Place, Los Angeles, CA 90037 2018-09-20
1932603081 Adam Wiswell Psychologist 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 2018-03-22
1548764392 St. John's Well Child and Family Center, Inc. Clinic/Center 1000 W. 50th St, Los Angeles, CA 90037 2018-03-19
1134637150 Tamayo Inc & Lascoe Inc Dental Partnership Dentist 4400 S Broadway Ste #103, Los Angeles, CA 90037 2018-01-11
1295282283 Catherine Azzopardi Social Worker 4601 S Broadway, Los Angeles, CA 90037 2016-09-07
1619423266 Esmeralda Garcia Dietitian, Registered 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 2016-09-01
1225405921 Sophan Cheng Nurse Practitioner 808 W. 58th Street, Los Angeles, CA 90037 2015-08-28
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Taxonomy Information

Taxonomy Code 2471M2300X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Mammography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447309356 Orange Imaging Medical Center Radiologic Technologist 500 S Anaheim Hills Rd Ste 121, Anaheim, CA 92807-4762 2007-01-09
1902304512 Chelsea Murphy Radiologic Technologist 250 Bon Air Rd, Greenbrae, CA 94904-1702 2018-01-29
1013218825 Women's Diagnostic Imaging Med. Center, Inc. Radiologic Technologist 333 S Fair Oaks Ave, Pasadena, CA 91105-2541 2010-11-10
1235305459 Betty J Calvin Radiologic Technologist 3081 Teagarden St, San Leandro, CA 94577-5720 2008-05-07
1851573752 Karine Gasparyan Radiologic Technologist 21740 Devonshire St, Suite #3, Chatsworth, CA 91311-2903 2007-12-03
1639359771 Downey Breast Diagnostic Clinic Inc Radiologic Technologist 8301 Florence Ave, 101, Downey, CA 90240-3936 2007-11-06

Competitor

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City LOS ANGELES
Zip Code 90037

Improve Information

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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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