VALERIE L. WATIKER M.D. INC (NPI# 1669627808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669627808 |
| Entity Type | Organization |
| Organization Name | VALERIE L. WATIKER M.D. INC |
| Practice Address |
11633 San Vicente Blvd Suite 206 Los Angeles CA 90049-6511 |
| Mailing Address |
11693 San Vicente Blvd #807 Los Angeles CA 90049-5105 |
| Practice Telephone | 3103608383 |
| Practice Fax Number | 3108201606 |
| Mailing Telephone | 3103608383 |
| Mailing Fax Number | 3108201606 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DR. VALERIE LEIGH WATIKER (CEO) |
| Authorized Official Telephone | 3103608383 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A83345 | CA | Ambulatory Health Care Facilities |
| Street Address |
11633 SAN VICENTE BLVD SUITE 206 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487607685 | Jonathan Torregosa Tiongson | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2006-05-18 |
| 1912480906 | Shangxin Yang | Spec/Tech, Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2018-09-14 |
| 1164941415 | Darius Terray Humphrey | Nurse Practitioner | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-09-18 |
| 1487172391 | Azadeh Tavari | Dentist | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-08-31 |
| 1891223210 | Peera Hemarajata | Pathology | 11633 San Vicente Blvd, Los Angeles, CA 90049-6511 | 2017-05-30 |
| 1699226530 | Romney Mckenzie Humphries | Specialist | 11633 San Vicente Blvd, 4th Floor, Rear Building, Los Angeles, CA 90049-6511 | 2016-10-15 |
| 1609118983 | Salam F Alkasspooles M D Amc | Clinic/Center | 11633 San Vicente Blvd, Suite 314, Los Angeles, CA 90049-6511 | 2013-03-25 |
| 1194000216 | Alexandra Hazel Rudd-barnard | Clinical Neuropsychologist | 11633 San Vicente Blvd, 106, Los Angeles, CA 90049-6511 | 2011-10-20 |
| 1316239080 | Matthew Schneider Dpm Inc | Podiatrist | 11633 San Vicente Blvd, Suite 200, Los Angeles, CA 90049-6511 | 2011-05-12 |
| 1063716751 | Rashel J Tahzib Do Inc | Family Medicine | 11633 San Vicente Blvd, Suite 107, Los Angeles, CA 90049-6511 | 2011-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1376036178 | Rolando S. Mercader M.d. Inc. | Clinic/Center | 201 S Alvarado St Ste 600, Los Angeles, CA 90057-2386 | 2018-06-07 |
| 1669909958 | David Rekar Md, Inc | Clinic/Center | 866 N Vermont Ave Ste 3a, Los Angeles, CA 90029-3587 | 2017-05-17 |
| 1639604895 | Family Health Clinic Inc. | Clinic/Center | 133 S Vermont Ave, Los Angeles, CA 90004-5904 | 2017-04-25 |
| 1447618541 | Pc Medical Group Inc | Clinic/Center | 3663 W 6th St Ste 100, Los Angeles, CA 90020-3047 | 2016-02-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on VALERIE L. WATIKER M.D. INC.
| 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.