SU FERN KHOO (NPI# 1609491778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609491778 |
| Entity Type | Individual |
| Full Name | SU FERN KHOO |
| Credential | LMFT |
| Practice Address |
13634 Cordary Ave Hawthorne CA 90250-7409 |
| Mailing Address |
Po Box 66338 Los Angeles CA 90066-0338 |
| Practice Telephone | 3109701921 |
| Enumeration Date | 2020-06-14 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 119333 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11949 Jefferson Blvd Ste 102, Culver City, CA 902306336 | 5622316528 |
| Street Address |
13634 CORDARY AVE |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649833195 | Joseph Michael Ryan | Marriage & Family Therapist | 5514 W 149th Pl Unit 11, Hawthorne, CA 90250-6674 | 2019-04-19 |
| 1255865283 | Jennifer Masri | Marriage & Family Therapist | 11423 Cedar Ave, Apt 4, Hawthorne, CA 90250-2463 | 2017-04-17 |
| 1245698646 | Vanessa Gonzalez | Marriage & Family Therapist | 13355 Hawthorne Blvd, Hawthorne, CA 90250-5802 | 2016-02-01 |
| 1184030843 | Gabriela Pineda | Marriage & Family Therapist | 4117 W Broadway Apt 11, Hawthorne, CA 90250-4075 | 2014-07-02 |
| 1235488644 | Marisol Melanie Meza | Marriage & Family Therapist | 7 Nelson Ave, Hawthorne, NJ 07506-3406 | 2012-08-30 |
| 1285929240 | Ginna Garcia | Marriage & Family Therapist | 11701 Inglewood Ave, Suite 201, Hawthorne, CA 90250-2032 | 2011-06-17 |
| 1760798300 | Alicia Lavonne Partee | Marriage & Family Therapist | 11419 Casimir Ave, Hawthorne, CA 90250-1100 | 2010-08-20 |
| 1356536734 | Cynthia Braden Masciola | Marriage & Family Therapist | 5506 W 123rd Pl, Hawthorne, CA 90250-3433 | 2007-09-10 |
| 1932239829 | Charlene Edwards | Marriage & Family Therapist | 12111 Hawthorne Way, #21, Hawthorne, CA 90250-3817 | 2007-03-07 |
| 1225172315 | Dwayne Catrell Sanders | Marriage & Family Therapist | 2109 Saint Augusta Lane, Hawthorne, CA 90250 | 2007-02-20 |
| Find all providers in HAWTHORNE | ||||
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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.