ETAN MILGROM (NPI# 1649281130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649281130 |
| Entity Type | Individual |
| Full Name | ETAN MILGROM |
| Credential | MD |
| Practice Address |
849 W 34th St Los Angeles CA 90089-0079 |
| Practice Telephone | 2137400225 |
| Mailing Telephone | 2137400225 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | G59018 | CA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | G59018 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PPIN # | 00590180 | 01 |
| Street Address |
849 W 34TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336340801 | Keesha M Jeter | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-05-30 |
| 1477762599 | Lisa Richardson | Pediatrics | 849 W 34th St, Los Angeles, CA 90089-0079 | 2007-05-22 |
| 1457560153 | Michael Collier Creamer | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0079 | 2007-05-21 |
| 1801015938 | Darryl Mayo | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0079 | 2007-04-25 |
| 1609095041 | Lori Walker | Internal Medicine | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-24 |
| 1437376175 | Emily H. Kumai | Physician Assistant | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-20 |
| 1326265315 | Yasuko Margie Furumoto | Dermatology | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-19 |
| 1861618944 | Donna Marie Beard Gilchrist | Nurse Practitioner | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-18 |
| 1275759425 | Kevin D Kwak | Internal Medicine | 849 W 34th St, Los Angeles, CA 90089-0311 | 2007-04-17 |
| 1306935564 | Karel William Kooper | Family Medicine | 849 W 34th St, Los Angeles, CA 90089-0079 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1073835617 | Jean Marie Hanley | Allergy & Immunology | 1801 E. Marengo St., L-902, Los Angeles County Usc Division of Allergy, Los Angeles, CA 90033-1083 | 2010-02-24 |
| 1275693400 | Victor F Tapson | Allergy & Immunology | 127 S San Vicente Blvd # A6100, Los Angeles, CA 90048-3311 | 2006-12-11 |
| 1073699724 | Barry Allen Kohn | Allergy & Immunology | 7095 Hollywood Blvd, #635, Los Angeles, CA 90028-8903 | 2006-10-27 |
| 1083721344 | Roger M Katz | Allergy & Immunology | 11500 W Olympic Blvd Ste 630, Los Angeles, CA 90064-1538 | 2006-08-24 |
| 1497764989 | Jennifer J Baik | Allergy & Immunology | 300 S Hobart Blvd, Suite301, Los Angeles, CA 90020-3635 | 2006-08-05 |
| 1679582985 | Sincere Allergy Asthma Medical Group, Inc | Allergy & Immunology | 300 S Hobart Blvd Ste 301, Los Angeles, CA 90020-3693 | 2006-08-05 |
| 1285603902 | Uc Regents Ucla Department of Medicine Professional Group | Allergy & Immunology | Uc Regents Ucla Dept of Med Prof Grp 100 Med Plaza, Suite 290,450,455,490,525,550,510,700, Los Angeles, CA 90095-0001 | 2006-03-15 |
| 1801861216 | Manish Janardhan Butte | Allergy & Immunology | Po Box 951556, Los Angeles, CA 90095-2200 | 2006-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
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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.