DR. LUCILENE F. TOLENTINO (NPI# 1710079603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710079603 |
| Entity Type | Individual |
| Full Name | DR. LUCILENE F. TOLENTINO |
| Credential | M.D. |
| Practice Address |
12021 S. Wilmington Ave Los Angeles CA 90059 |
| Practice Telephone | 5624275363 |
| Practice Fax Number | 5624278802 |
| Mailing Telephone | 3106684476 |
| Mailing Fax Number | 3108854637 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A76749 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12021 S. WILMINGTON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790793370 | Xiao-quan Yuan | Neurological Surgery | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-08-03 |
| 1871633826 | Michael Thaddeaus Rayfield | Physician Assistant | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2007-02-07 |
| 1801969365 | Ashis Mandal | Surgery | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-11-15 |
| 1184794133 | Vijay Bhasin | Internal Medicine | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-11-08 |
| 1528138583 | Richard Findlay | Pediatrics | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-11-08 |
| 1285704239 | Vidya Kaushik | Internal Medicine | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-11-08 |
| 1447336557 | Chat V Dang | Emergency Medicine | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-10-31 |
| 1629154745 | Kenneth Lewis | Anesthesiology | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-10-31 |
| 1497831499 | Leo Lundy | Surgery | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-10-31 |
| 1801971072 | Frederick W James | Pediatrics | 12021 S. Wilmington Ave, Los Angeles, CA 90059 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023512126 | Sofia Liou | Pathology | 924 Westwood Blvd Ste 705, Los Angeles, CA 90024-2959 | 2018-03-22 |
| 1134645732 | Jennifer Katzenberg | Pathology | 10833 Le Conte Ave # Chsas, Los Angeles, CA 90095-3075 | 2017-08-16 |
| 1144678426 | Jayjay Zabala Blanco | Pathology | 116 N Robertson Blvd Ste 500, Los Angeles, CA 90048-3100 | 2016-05-27 |
| 1962866855 | Sai Priyanka Gudiwada | Pathology | 10833 Le Conte Ave # A2-179, Los Angeles, CA 90095-1202 | 2016-04-07 |
| 1003229329 | Tiannan Wang | Pathology | 1500 San Pablo St Rm 216, Los Angeles, CA 90033-5313 | 2014-06-04 |
| 1356754840 | Ahmad Ibrahim | Pathology | 1450 San Pablo St Rm 2401, Los Angeles, CA 90033-5331 | 2014-06-03 |
| 1396015434 | Lily Jih | Pathology | 8700 Beverly Blvd., #8709, South Tower, Los Angeles, CA 90048 | 2012-01-06 |
| 1588993059 | Jennifer Lynne Clebanoff | Pathology | Ucla Pathology and Laboratory Medicine, Box 951732, A7-149 Chs, Los Angeles, CA 90095-1732 | 2009-12-13 |
| 1326277385 | Saloni Walia | Pathology | 2011 Zonal Ave # Hmr211, Los Angeles, CA 90089-1083 | 2009-07-10 |
| 1336377829 | Matthew Denicola | Pathology | 10833 Le Conte Ave Box 951732, Los Angeles, CA 90095-1732 | 2009-06-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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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.