JENNIFER SUDARSKY MD A PROFESSIONAL CORP (NPI# 1700339561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700339561 |
| Entity Type | Organization |
| Organization Name | JENNIFER SUDARSKY MD A PROFESSIONAL CORP |
| Practice Address |
11860 Wilshire Blvd Suite 200 Los Angeles CA 90025-6613 |
| Practice Telephone | 3104456600 |
| Practice Fax Number | 3104456601 |
| Mailing Telephone | 3104456600 |
| Mailing Fax Number | 3104456601 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | RENEE GARDEN (DIRECTOR) |
| Authorized Official Telephone | 3104456600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A70017 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11860 WILSHIRE BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923059 | Corpus Art Physical Therapy Professional Corp | Clinic/Center | 11860 Wilshire Blvd, 100, Los Angeles, CA 90025-6613 | 2006-05-26 |
| 1730430588 | Ronald Seymour Weaver Md Inc | Specialist | 11860 Wilshire Blvd, Suite # 100, Los Angeles, CA 90025-6613 | 2012-09-19 |
| 1619274420 | Wilshire Westgate Dental, Inc. | Clinic/Center | 11860 Wilshire Blvd, #302, Los Angeles, CA 90025-6613 | 2011-02-15 |
| 1528378023 | Dani Benyaminy | Dentist | 11860 Wilshire Blvd, Suite 301, Los Angeles, CA 90025-6613 | 2010-10-18 |
| 1295040533 | Arkady Stern Md Inc | General Practice | 11860 Wilshire Blvd, Ste 102, Los Angeles, CA 90025-6613 | 2010-08-11 |
| 1043440274 | Cary Charlin Dds Inc. | Clinic/Center | 11860 Wilshire Blvd, #302, Los Angeles, CA 90025 | 2009-07-22 |
| 1861622490 | Radiance Health Group, Inc | Physical Medicine & Rehabilitation | 11860 Wilshire Blvd, Ste 100, Los Angeles, CA 90025-6613 | 2009-07-16 |
| 1871732149 | West La Ms Inc. | Clinic/Center | 11860 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-6613 | 2009-02-11 |
| 1619112661 | Vanessa D Mesner | Occupational Therapist | 11860 Wilshire Blvd, Ste 100, Los Angeles, CA 90025-6613 | 2008-12-04 |
| 1922286228 | David P Melamed | Dermatology | 11860 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-6613 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on JENNIFER SUDARSKY MD A PROFESSIONAL CORP.
| 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.