MAR VISTA HEALTH CENTER, INC (NPI# 1720301559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720301559 |
| Entity Type | Organization |
| Organization Name | MAR VISTA HEALTH CENTER, INC |
| Practice Address |
3030 Sawtelle Blvd Los Angeles CA 90066-1408 |
| Mailing Address |
2980 N Beverly Glen Cir Ste 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 3103912617 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | MICHAEL SINEL (SECRETARY) |
| Authorized Official Telephone | 3103912617 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MAR VISTA HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497076277 | Mar Vista Health Center, Inc | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2010-06-16 |
| Street Address |
3030 SAWTELLE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738225 | Kenneth W Luther A Chiropracti | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2005-08-25 |
| 1053928390 | Wesley Jerome Oaties II | Physical Therapist | 3030 Sawtelle Blvd, Los Angeles, CA 90066 | 2020-09-30 |
| 1225644404 | Brandon Yowon Chung | Acupuncturist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2020-09-22 |
| 1629684873 | Nathan Clark | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2020-09-22 |
| 1932718780 | Casey Reyes Casaol | Physical Therapist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2020-07-28 |
| 1508426800 | Keiko Hamano | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2019-06-18 |
| 1760947782 | Tara Priya Das | Acupuncturist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2019-02-04 |
| 1437645405 | Nirada Phaphant | Acupuncturist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2018-07-02 |
| 1649626755 | Nariman Gabay | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2016-05-06 |
| 1790141448 | Seo Yang | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| 1932395092 | Glenville Medical Group, A Medical Corporation | Non-Pharmacy Dispensing Site | 1531 Glenville Dr, Los Angeles, CA 90035-3107 | 2007-09-21 |
| 1265441216 | Randy L Peters | Non-Pharmacy Dispensing Site | 3198 W 7th St Apt 318, Los Angeles, CA 90005-1659 | 2006-08-07 |
| 1891245619 | Keith L. Gurnick, D.p.m. | Non-Pharmacy Dispensing Site | 2080 Century Park E, Suite 705, Los Angeles, CA 90067-2001 | 2016-10-04 |
| 1770962946 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 1711 W Temple St, Suite 4100, Los Angeles, CA 90026-5421 | 2015-05-21 |
| 1386021475 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 5301 Whittier Blvd, Suite B, Los Angeles, CA 90022-4038 | 2015-04-28 |
| 1033501101 | Ais Medical Foods, Inc. | Non-Pharmacy Dispensing Site | 8631 W 3rd St, Suite 1145e, Los Angeles, CA 90048-5901 | 2015-02-26 |
| 1255749099 | Morningside Primary Care Medical Center Mc Inc A Nevada Corporation | Non-Pharmacy Dispensing Site | 617 W Manchester Ave, Los Angeles, CA 90044-5718 | 2014-07-24 |
| 1386058402 | Arj Medical, Inc. | Non-Pharmacy Dispensing Site | 5655 E Beverly Blvd, Los Angeles, CA 90022-2803 | 2014-06-17 |
| 1043624489 | Daniel Capen, M.d., A Professional Corporation | Non-Pharmacy Dispensing Site | 6200 Wilshire Blvd, Suite 910, Los Angeles, CA 90048-5801 | 2014-06-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on MAR VISTA HEALTH CENTER, 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.