MS. JUDEE H CARRICO (NPI# 1801305503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801305503 |
| Entity Type | Individual |
| Full Name | MS. JUDEE H CARRICO |
| Practice Address |
2032 Thompson Ct Ste 12 Montrose CA 91020-1652 |
| Mailing Address |
2746 El Caminito La Crescenta CA 91214-2932 |
| Practice Telephone | 8182495489 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ELECTROLOGIST LICENSE | 6253 | 01 |
| Street Address |
2032 THOMPSON CT STE 12 |
| City | MONTROSE |
| State | CA |
| Zip Code | 91020-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265800866 | Amoret Kaufman | Marriage & Family Therapist | 2233 Honolulu Ave Ste 305, Montrose, CA 91020 | 2015-09-14 |
| 1114303161 | Vincent Hess Stack | Pathology | 2732 Piedmont Ave. #1, Montrose, CA 91020 | 2015-07-31 |
| 1013300920 | Miroslav Zofcik | Massage Therapist | 2331 Honolulu Ave #e, Montrose, CA 91020 | 2015-03-17 |
| 1528466257 | Luiza Andakyan | Behavioral Analyst | 2233 Honolulu Ave # 301, Montrose, CA 91020 | 2014-12-11 |
| 1437598570 | Clodiya Taroian | Registered Nurse | 2331 Montrose Avenue, 1, Montrose, CA 91020 | 2013-06-21 |
| 1740531284 | Stacey L Sherrell | Marriage & Family Therapist | 2550 Honolulu Ave Ste 201, Montrose, CA 91020 | 2012-09-24 |
| 1285926055 | Chul Jae Lee | Acupuncturist | 4420 Briggs Ave., Montrose, CA 91020 | 2011-05-11 |
| 1447444856 | Verdugo Valley Skilled Nursing & Wellness Centre, LLC | Skilled Nursing Facility | 2635 Honolulu Ave, Montrose, CA 91020 | 2007-08-29 |
| 1003034497 | Gonzalez Dental Corporation | Dentist | 3901 Ocean View Blvd, Montrose, CA 91020 | 2007-04-23 |
| 1275612715 | Susan Wooton Reyes | Counselor | 2039 1/2 Montrose Ave, Montrose, CA 91020 | 2006-11-03 |
| Find all providers in zip 91020 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590528 | Brain Training Institute LLC | Specialist/Technologist, Other | 100 Pierre Rd Ste A, Walnut, CA 91789-2565 | 2020-05-26 |
| 1063050441 | Medical Legal Experts Mle | Specialist/Technologist, Other | 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 | 2019-12-16 |
| 1720632045 | Amanda M Vanderford | Specialist/Technologist, Other | 6150 Tule Lane, Foresthill, CA 95631 | 2019-07-25 |
| 1730655408 | Linda Adkins | Specialist/Technologist, Other | 515 W 6th St Fl 9, Los Angeles, CA 90014-1201 | 2018-10-19 |
| 1346741576 | Yasmin Ali | Specialist/Technologist, Other | 41019 Woodshire Dr, Palmdale, CA 93551-5746 | 2018-02-22 |
| 1669971164 | Timothy Michael Dwyer Jr. | Specialist/Technologist, Other | 3225 S Townsend St, Santa Ana, CA 92704-6647 | 2018-02-09 |
| 1033659388 | Morgan Irene Gilfillan | Specialist/Technologist, Other | 1420 Hornblend St, Apt. 1, San Diego, CA 92109-4329 | 2017-03-06 |
| 1992245427 | Jennifer Mcevoy | Specialist/Technologist, Other | 355 1st St Unit S805, San Francisco, CA 94105-3067 | 2017-03-02 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. JUDEE H CARRICO.
| 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.