AUDREY GRIESBACH (NPI# 1659597193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659597193 |
| Entity Type | Individual |
| Full Name | AUDREY GRIESBACH |
| Credential | M.D. |
| Practice Address |
11835 W Olympic Blvd Suite 1200e Los Angeles CA 90064-5001 |
| Practice Telephone | 3109968990 |
| Practice Fax Number | 3109968991 |
| Mailing Telephone | 3109968990 |
| Mailing Fax Number | 3109968991 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
G35142 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11835 W OLYMPIC BLVD SUITE 1200E |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942284989 | Julia Hobbs Speech Pathology, Inc. | Speech-Language Pathologist | 11835 W Olympic Blvd, #300, Los Angeles, CA 90064-5001 | 2005-12-02 |
| 1477115269 | Naguine Manon Bensimon Tree | Speech-Language Pathologist | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2019-07-02 |
| 1235620337 | Camila Mariana Llosa | Behavioral Analyst | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-05-24 |
| 1336644392 | Emon Davenport | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-03-29 |
| 1043711179 | Amy Guadalupe Canal | Behavioral Analyst | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-23 |
| 1336640739 | Marian Krull | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-22 |
| 1033610498 | Negar Ghorbanali | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-21 |
| 1548760028 | Marina Vaynman | Behavioral Analyst | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-20 |
| 1124528765 | Ivette Flores | Behavior Technician | 11835 W Olympic Blvd, Los Angeles, CA 90064-5001 | 2018-02-20 |
| 1639536287 | Dajana Samanc | Behavioral Analyst | 11835 W Olympic Blvd, Suite 140e, Los Angeles, CA 90064-5001 | 2016-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558608331 | Melissa Harada | Pediatrics | 3782 W Martin Luther King Jr Blvd, Los Angeles, CA 90008-1703 | 2013-01-14 |
| 1578784237 | Kerry L English | Pediatrics | 5840 S. Mansfield Ave., Los Angeles, CA 90043 | 2007-05-01 |
| 1104944560 | Harvey Neil Karp | Pediatrics | 12300 Wilshire Blvd Ste 320, Los Angeles, CA 90025-1057 | 2007-03-26 |
| 1982667663 | Uc Regents | Pediatrics | 200 Ucla Medical Plaza, Suite 265, Los Angeles, CA 90095-8344 | 2006-04-11 |
| 1427580067 | Jennifer Han | Pediatrics | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2017-04-02 |
| 1700248531 | Joshua Ryan Kallman | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2016-03-22 |
| 1063898831 | Sairam Kumar | Pediatrics | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027 | 2015-08-04 |
| 1356560767 | Anshu Batra | Pediatrics | 11835 W Olympic Blvd, 1200e, Los Angeles, CA 90064-5001 | 2007-04-24 |
| 1629296181 | Mimi Kim | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2007-04-23 |
| 1518034537 | Ida E. Huang | Pediatrics | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
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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.