MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION (NPI# 1689195471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689195471 |
| Entity Type | Organization |
| Organization Name | MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION |
| Practice Address |
482 Corona Mall Corona CA 92879-1418 |
| Mailing Address |
1294 E Colorado Blvd Pasadena CA 91106-1901 |
| Practice Telephone | 8664675222 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | SAHNIAH SICIARZ-LAMBERT (CFO) |
| Authorized Official Telephone | 8442700292 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL SUPPORT LOS ANGELES A MEDICAL COPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962926014 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 168 N Brent St Ste 501, Ventura, CA 93003-2840 | 2017-07-31 |
| 1982128039 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 225 E Airport Dr Ste 100, San Bernardino, CA 92408-3421 | 2017-07-31 |
| 1770007825 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 855 N Lark Ellen Ave Ste C, West Covina, CA 91791-1099 | 2017-07-31 |
| 1184148231 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 100 N Arlington Ave Ste 240, Reno, NV 89501-1243 | 2017-07-31 |
| 1376065797 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 525 South Dr Ste 215, Mountain View, CA 94040-4211 | 2017-07-07 |
| 1700308129 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 981 W 7th St Ste 981, Oxnard, CA 93030-6757 | 2017-07-07 |
| 1013438811 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 790 Loughborough Dr, Merced, CA 95348-2626 | 2017-06-30 |
| 1740701531 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 512 Westline Dr Ste 202, Alameda, CA 94501-7605 | 2017-06-30 |
| 1154842946 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 5300 Lennox Ave Ste 302, Bakersfield, CA 93309-1662 | 2017-06-30 |
| 1750802559 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1011 E Devonshire Ave Ste 200, Hemet, CA 92543-3033 | 2017-06-30 |
| Street Address |
482 CORONA MALL |
| City | CORONA |
| State | CA |
| Zip Code | 92879-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235145590 | Mowbray Philip Hagan | Internal Medicine | 482 Corona Mall, Corona, CA 92879-1418 | 2006-07-31 |
| 1073824199 | Mowbray P Hagan, Md, Inc | Non-Pharmacy Dispensing Site | 482 Corona Mall, Corona, CA 92879-1418 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962926014 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 168 N Brent St Ste 501, Ventura, CA 93003-2840 | 2017-07-31 |
| 1982128039 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 225 E Airport Dr Ste 100, San Bernardino, CA 92408-3421 | 2017-07-31 |
| 1770007825 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 855 N Lark Ellen Ave Ste C, West Covina, CA 91791-1099 | 2017-07-31 |
| 1376065797 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 525 South Dr Ste 215, Mountain View, CA 94040-4211 | 2017-07-07 |
| 1700308129 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 981 W 7th St Ste 981, Oxnard, CA 93030-6757 | 2017-07-07 |
| 1013438811 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 790 Loughborough Dr, Merced, CA 95348-2626 | 2017-06-30 |
| 1740701531 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 512 Westline Dr Ste 202, Alameda, CA 94501-7605 | 2017-06-30 |
| 1154842946 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 5300 Lennox Ave Ste 302, Bakersfield, CA 93309-1662 | 2017-06-30 |
| 1750802559 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 1011 E Devonshire Ave Ste 200, Hemet, CA 92543-3033 | 2017-06-30 |
| 1326569112 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 684 Medical Center Dr E Ste 105, Clovis, CA 93611-6806 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
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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.