DR. KRISTIN EGAN (NPI# 1669500302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669500302 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN EGAN |
| Credential | M.D. |
| Practice Address |
2809 N Sepulveda Blvd Manhattan Beach CA 90266-2727 |
| Practice Telephone | 3104268415 |
| Practice Fax Number | 3109353042 |
| Mailing Telephone | 3104268415 |
| Mailing Fax Number | 3109353042 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
2527051 | NY | Allopathic & Osteopathic Physicians |
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A90465 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437602828 | Kristin M Egan | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2016-08-02 |
| 1962711184 | Kristin Egan | Physical Medicine & Rehabilitation | 10124 S Kedzie Ave, Evergreen Park, IL 60805-3738 | 2010-10-05 |
| Street Address |
2809 N SEPULVEDA BLVD |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235230368 | Scott Curtis Rackett | Dermatology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2006-09-25 |
| 1629438064 | Lasermd Pain Relief, Inc. | Clinic/Center | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2016-02-27 |
| 1386946762 | Kristin K. Egan Md Inc | Otolaryngology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2010-11-17 |
| 1497911671 | Barbara L. Schulz,md, Inc | Obstetrics & Gynecology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2008-08-06 |
| 1811179120 | John Joseph Rehm | Otolaryngology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2007-11-28 |
| 1235333493 | Scott C Rackett M D Inc | Dermatology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2007-06-12 |
| 1861612772 | Rose J Eapen | Otolaryngology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2007-04-26 |
| 1679615496 | John J.r., M.d., A Medical Corporation | Otolaryngology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386946762 | Kristin K. Egan Md Inc | Otolaryngology | 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266-2727 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550498 | Hootan Zandifar Md Inc | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-02-14 |
| 1548751183 | Farhad Ardesh Md Inc | Otolaryngology | 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 | 2018-05-18 |
| 1174943377 | Sunny Park Md, Inc | Otolaryngology | 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 | 2014-04-26 |
| 1154743987 | Keith Jay Wahl | Otolaryngology | 8735 Nottingham Pl, La Jolla, CA 92037-2129 | 2014-01-14 |
| 1295179570 | Ari Joseph Hyman | Otolaryngology | 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 | 2013-04-17 |
| 1710229893 | Zachary Calnan Fridirici | Otolaryngology | 2233 Post St Fl 3, San Francisco, CA 94115 | 2013-03-26 |
| 1376883975 | Su Mai | Otolaryngology | 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 | 2013-02-20 |
| 1710244892 | Meaghan Noud | Otolaryngology | 421 Post St Fl 14, San Francisco, CA 94102 | 2012-04-13 |
| 1508164500 | Dr. Sasha Maher D.o. | Otolaryngology | 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 | 2011-03-01 |
| 1871804187 | Edwin E Breitenbach | Otolaryngology | 2601 Augusta, Tustin, CA 92782-1201 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
Please comment or provide details below to improve the information on DR. KRISTIN EGAN.
| 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.