ALISSA ANNE DETZ (NPI# 1811211626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811211626 |
| Entity Type | Individual |
| Full Name | ALISSA ANNE DETZ |
| Credential | MD |
| Practice Address |
200 Medical Plz 420 Los Angeles CA 90095-0001 |
| Practice Telephone | 3107949809 |
| Practice Fax Number | 3102063551 |
| Mailing Telephone | 3107949809 |
| Mailing Fax Number | 3102063551 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2012-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A110966 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1811211626 | 05 | |
| CA | MEDI-CAL CCS PANELED PROVIDER | 1811211626 | 01 |
| Street Address |
200 MEDICAL PLZ 420 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789287 | Afshin Akhavan Safa | Radiology | 200 Medical Plz, Suite B265, Los Angeles, CA 90095-0001 | 2005-06-13 |
| 1700316239 | Andrew Scott | Pharmacy | 200 Medical Plz, Los Angeles, CA 90095-0001 | 2017-06-18 |
| 1861943037 | Rebecca Gebremichael | Audiologist | 200 Medical Plz, 540, Los Angeles, CA 90095-0001 | 2016-10-21 |
| 1649640707 | Mehdi Mohamadnejad | Internal Medicine | 200 Medical Plz, Suite 365 C, Los Angeles, CA 90095-0001 | 2015-10-01 |
| 1154799542 | Gerd Ken Herrmann | Nuclear Medicine | 200 Medical Plz, Suite B114, Los Angeles, CA 90095-0001 | 2015-09-02 |
| 1902291354 | Miranda Westfall | Dietitian, Registered | 200 Medical Plz, Suite 265, Los Angeles, CA 90095-0001 | 2015-04-02 |
| 1508255191 | Nicole Anne Schussel | Speech-Language Pathologist | 200 Medical Plz, Suite 540, Los Angeles, CA 90095-0001 | 2015-01-20 |
| 1821492414 | Sherly Cherian | Dietitian, Registered | 200 Medical Plz, Suite 530, Los Angeles, CA 90095-0001 | 2014-10-10 |
| 1548502644 | Lisa Kay Tritico | General Acute Care Hospital | 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 | 2013-03-27 |
| 1184966210 | Ucla Health Systems | Clinic/Center | 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 | 2013-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680905 | Siavash Arani | Internal Medicine | 4524 San Pedro Pl, Los Angeles, CA 90011-3434 | 2020-08-19 |
| 1306455787 | All Health Medical Group, Inc | Internal Medicine | 1300 N Vermont Ave Ste 1008, Los Angeles, CA 90027-6096 | 2020-07-30 |
| 1912533985 | Milgrom Medical Inc. | Internal Medicine | 1555 Vine St Apt 433s, Los Angeles, CA 90028-5298 | 2020-03-20 |
| 1316582059 | Sera Ramadan, D.o., Inc | Internal Medicine | 1245 Wilshire Blvd Ste 812, Los Angeles, CA 90017-4808 | 2019-11-15 |
| 1154971018 | Del Refugio Healthcare Inc | Internal Medicine | 4800 S Central Ave Ste B, Los Angeles, CA 90011-5459 | 2019-09-12 |
| 1851957245 | Aviva Iofel, M.d., Inc. | Internal Medicine | 6234 Fountain Ave Unit B, Los Angeles, CA 90028-8214 | 2019-05-12 |
| 1588120539 | Netzah Health Corp | Internal Medicine | 866 N Vermont Ave Ste 2, Los Angeles, CA 90029-3587 | 2019-02-14 |
| 1306310495 | Baltimo Medical Center Inc | Internal Medicine | 3700 Wilshire Blvd Ste 422, Los Angeles, CA 90010-2905 | 2019-01-11 |
| 1528531316 | Dauna Marie Health Care Inc | Internal Medicine | 3755 Beverly Blvd Apt 303, Los Angeles, CA 90004-3540 | 2019-01-04 |
| 1710458005 | Equality Health Network PC | Internal Medicine | 555 W 5th St Fl 35, Los Angeles, CA 90013-1010 | 2018-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on ALISSA ANNE DETZ.
| 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.