NEUROCENTER FOR PAIN AND TREMOR A MEDICAL GROUP INC (NPI# 1760566400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760566400 |
| Entity Type | Organization |
| Organization Name | NEUROCENTER FOR PAIN AND TREMOR A MEDICAL GROUP INC |
| Other Organization Name | JACOB CHODAKIEWITZ MD |
| Practice Address |
1125 S Beverly Dr Ste 610 Los Angeles CA 90035-1182 |
| Mailing Address |
1125 S Beverly Dr Ste.610 Los Angeles CA 90035-1148 |
| Practice Telephone | 3105533379 |
| Practice Fax Number | 3108479714 |
| Mailing Telephone | 3105533379 |
| Mailing Fax Number | 3108479714 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | JACOB W CHODAKIEWITZ (PRESIDENT) |
| Authorized Official Telephone | 3105533379 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A38243 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A382430 | 05 |
| Other Name | Type Code |
|---|---|
| jacob chodakiewitz md | Doing Business As Name - Organization |
| Street Address |
1125 S BEVERLY DR STE 610 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90035-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275176000 | Susan K. Zelinka | Speech-Language Pathologist | 1125 S Beverly Dr Ste 610, Los Angeles, CA 90035-1182 | 2019-10-24 |
| 1093205460 | Andrea Fanton | Speech-Language Pathologist | 1125 S Beverly Dr Ste 610, Los Angeles, CA 90035-1182 | 2018-05-11 |
| 1942701578 | Ageeto Health, Inc. | Clinic/Center | 1125 S Beverly Dr Ste 610, Los Angeles, CA 90035-1182 | 2018-02-28 |
| 1295177780 | Rashmi Bandekar Palacios | Physical Therapist | 1125 S Beverly Dr Ste 610, Los Angeles, CA 90035-1182 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1962061945 | Alcott Center for Mental Health Services | Community/Behavioral Health | 1441-1443 S. Robertson Blvd., Los Angeles, CA 90035 | 2019-06-12 |
| 1124514773 | Bahareh Haykani | Physician Assistant | 1105 S La Peer Dr, Los Angeles, CA 90035 | 2018-07-06 |
| 1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
| 1407202393 | Elham Azarmiazam | Chiropractor | 1016 South Robertson Blvd., Los Angeles, CA 90035 | 2016-05-10 |
| 1548626369 | Esther Levy-bremer | Acupuncturist | 1411 S. Cardiff Ave., Ca 90035, Los Angeles, CA 90035 | 2016-01-08 |
| 1972992949 | Tali Shams | Pharmacist | 1108 South Lapeer Drive, Los Angeles, CA 90035 | 2015-01-14 |
| 1932598067 | Edwin Gromis | Orthopaedic Surgery | 1122 South Robertson Blvd., Los Angeles, CA 90035 | 2015-01-13 |
| 1437568250 | Edwin Gromis M.d. A Prof Corp | Orthopaedic Surgery | 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 | 2014-08-06 |
| 1073929725 | David Javdon | Dentist | 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 | 2014-07-02 |
| Find all providers in zip 90035 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90035 |
Please comment or provide details below to improve the information on NEUROCENTER FOR PAIN AND TREMOR A MEDICAL GROUP 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.