DR. VICTOR AVEDIS KEVORKIAN (NPI# 1952496663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952496663 |
| Entity Type | Individual |
| Full Name | DR. VICTOR AVEDIS KEVORKIAN |
| Credential | M.D. |
| Practice Address |
14111 Van Ness Ave #4 Gardena CA 90249-2944 |
| Practice Telephone | 3105169152 |
| Practice Fax Number | 3103292121 |
| Mailing Telephone | 3105169152 |
| Mailing Fax Number | 3103292121 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A34034 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A340340 | 05 | |
| CA | TAX IDENTIFICATION | 95-3677784 | 01 |
| Street Address |
14111 VAN NESS AVE #4 |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073590378 | Samuel K Nkansah | Pharmacist | 14111 Van Ness Ave, Van Park Pharmacy, Gardena, CA 90249-2944 | 2005-12-28 |
| 1083155824 | Jmk Community Health Center, Inc | Nurse Practitioner | 14111 Van Ness Ave, Suite 5, Gardena, CA 90249-2950 | 2017-03-13 |
| 1003225434 | Diana Zagalskaya Md A Professional Corp | Pediatrics | 14111 Van Ness Ave, Gardena, CA 90249-2950 | 2014-08-11 |
| 1477888154 | Diana Zagalskaya | Pediatrics | 14111 Van Ness Ave, Gardena, CA 90249-2950 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| 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 |
|---|---|---|---|---|
| 1013104025 | Concepcion Mangasep M.d., Inc. | Specialist | 2918 Marine Ave, Gardena, CA 90249-3637 | 2007-10-03 |
| 1558402347 | Donald M Yamaguchi | Specialist | 1300 W. 155th Street, Suite 108, Gardena, CA 90247-4048 | 2007-02-12 |
| 1629123823 | La Vida Multi-specialty Medical Group | Specialist | 1045 Redondo Beach Blvd, Gardena, CA 90247 | 2007-01-25 |
| 1457359291 | Keerthi R De Silva | Specialist | 1141 W Redondo Beach Blvd, Suite 107, Gardena, CA 90247-3586 | 2005-07-13 |
| 1356529440 | Keerthi R De Silva, M.d., Inc. | Specialist | 1141 W Redondo Beach Blvd, Suite 107, Gardena, CA 90247-3586 | 2008-01-31 |
| 1326173022 | Gardena Surgical Inc A Medical | Specialist | 1141 W Redondo Beach Blvd, Ste 202, Gardena, CA 90247-3586 | 2007-02-22 |
| 1891876702 | Integrated Specialty Medical Associates Ipa, Inc | Specialist | 1515 W 190th St, Suite 410, Gardena, CA 90248-4319 | 2006-10-18 |
| 1053425132 | Gabriel Hernandez | Specialist | 1141 W Redondo Beach Blvd, Suite 402, Gardena, CA 90247-3586 | 2006-08-18 |
| 1427072453 | Nobel Lin | Specialist | 1141 W Redondo Beach Blvd, Suite 402, Gardena, CA 90247-3586 | 2006-07-26 |
| 1760408256 | Golden Ear Medical Group, Inc | Specialist | 1045 W Redondo Beach Blvd, Suite 575, Gardena, CA 90247-4128 | 2006-07-15 |
| Find all providers in GARDENA | ||||
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| 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.