AILENE BUNDALIAN RIVERA (NPI# 1740212356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740212356 |
| Entity Type | Individual |
| Full Name | AILENE BUNDALIAN RIVERA |
| Credential | RPT |
| Practice Address |
1711 W Temple St # 2056 Los Angeles CA 90026-5421 |
| Mailing Address |
11024 Balboa Blvd 504 Granada Hills CA 91344-5007 |
| Practice Telephone | 8186346328 |
| Mailing Telephone | 8186346328 |
| Mailing Fax Number | 8187859332 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT28631 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18546 Roscoe Blvd, 307, Northridge, CA 913244663 | 8186346328 | 8187859332 |
| Street Address |
1711 W TEMPLE ST # 2056 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90026-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497305684 | Mieshia Gaston | Technician | 831 Lucile Ave, 201, Los Angeles, CA 90026 | 2019-09-19 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1013402478 | Guillermo Gonzalez Lopez | Social Worker | La Cada, 1773 Griffith Park, Los Angeles, CA 90026 | 2018-06-28 |
| 1720504343 | Nadia Jocelyn Munoz | Counselor | 155 N. Occidental Blvd., Los Angeles, CA 90026 | 2017-08-15 |
| 1518489434 | Paul Keeley | Marriage & Family Therapist | 321 North Larchmont Boulevard, Suite 808, Los Angeles, CA 90026 | 2017-07-12 |
| 1326598079 | Yen-chen Chen | Speech-Language Pathologist | 2836 Sunset Blvd., Los Angeles, CA 90026 | 2016-10-06 |
| 1386038446 | Grace Ann M Navos | Physical Therapy Assistant | 2708 Glassell St, Los Angeles, CA 90026 | 2015-03-26 |
| 1578964227 | Giselle Louise Jones | Social Worker | 1741 Silver Lake Blvd Ste 2a, Los Angeles, CA 90026 | 2014-09-12 |
| 1619394160 | Mary Ann Flores Topico | Nurse Practitioner | 1379 Angelina St., Los Angeles, CA 90026 | 2014-03-22 |
| 1447674981 | Tribeca Pediatrics, PC | Pediatrics | 2920 Sunset Blvd, Tribeca Pediatrics, Los Angeles, CA 90026 | 2014-02-04 |
| Find all providers in zip 90026 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213961 | Profizix Physical Therapy and Wellness P.C. | Physical Therapist | 390 Hauser Blvd Apt 9l, Los Angeles, CA 90036-5577 | 2020-10-21 |
| 1679963631 | Leo Robles Jr. | Physical Therapist | 4572 Round Top Dr, Los Angeles, CA 90065-4930 | 2015-01-29 |
| 1225426406 | Gordon Kirkup | Physical Therapist | 838 N Mariposa Ave Apt 3, Los Angeles, CA 90029-3441 | 2014-12-22 |
| 1457562803 | Alan Chong W. Lee | Physical Therapist | 10 Chester Pl, Los Angeles, CA 90007-2518 | 2007-05-25 |
| 1750593224 | Pearl Dietz | Physical Therapist | 5120 W Goldleaf Cir, Suite 400, Los Angeles, CA 90056-1292 | 2007-05-04 |
| 1710923578 | Dorit Makowski | Physical Therapist | 1549 W Olympic Blvd, Los Angeles, CA 90015-3806 | 2006-06-21 |
| 1427546266 | Sylvia Vedamani | Physical Therapist | 580 S San Vicente Blvd, Los Angeles, CA 90048-4621 | 2018-04-26 |
| 1386132116 | Jessica Esser | Physical Therapist | 580 S San Vicente Blvd, Los Angeles, CA 90048-4621 | 2018-04-26 |
| 1154839686 | Scott Douglas Stallard | Physical Therapist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-01-18 |
| 1245586601 | M & K Physical Therapy Rehab Institute PC | Physical Therapist | 2120 W 8th St, Suite 200, Los Angeles, CA 90057-4019 | 2012-08-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90026 |
Please comment or provide details below to improve the information on AILENE BUNDALIAN RIVERA.
| 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.