JUDY B WITTENBERG BRAVARD (NPI# 1962664136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962664136 |
Entity Type | Individual |
Full Name | JUDY B WITTENBERG BRAVARD |
Credential | CNP |
Practice Address |
11101 Venice Blvd Los Angeles CA 90034-6914 |
Mailing Address |
843 Micheltorena St Los Angeles CA 90026-2701 |
Practice Telephone | 3108405755 |
Practice Fax Number | 3102185484 |
Mailing Telephone | 3236647971 |
Enumeration Date | 2008-06-30 |
Last Update Date | 2012-07-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
S292576 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11101 VENICE BLVD |
City | LOS ANGELES |
State | CA |
Zip Code | 90034-6914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023429230 | Womens Clinic | Clinic/Center | 11101 Venice Blvd, Los Angeles, CA 90034-6914 | 2014-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518582014 | Pdi Health Ca LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3415 South Sepulveda Blvd Ste 1100, Los Angeles, CA 90034 | 2020-06-10 |
1154888063 | Lanmc Corporation | Community/Behavioral Health | 1920 S. Robertson Blvd., Los Angeles, CA 90034 | 2019-02-27 |
1841799400 | Benjamin Kerneves | Physical Therapist | 3637 Clarington Ave, Los Angeles, CA 90034 | 2018-02-08 |
1497274799 | Nancy Mcdonald | Counselor | 9854 National Blvd., #493, Los Angeles, CA 90034 | 2017-09-18 |
1063931608 | Alexa Rohach | Physical Therapist | 3710 Midvale Ave, Unit 109, Los Angeles, CA 90034 | 2017-09-14 |
1225551807 | Bts Outpatient LLC | Counselor | 8847 Venice Blvd, Los Angeles, CA 90034 | 2017-07-25 |
1316467400 | Clarissa Green | Rehabilitation Counselor | Vista Del Mar 3200 Motor Ave, Los Angeles, CA 90034 | 2017-06-21 |
1245789940 | Genesis Psychology Group, Inc. | Psychologist | 3611 Motor Ave., Suite 240, Los Angeles, CA 90034 | 2016-09-23 |
1245787712 | Mahsa Harati | Dentist | 3670 Glendon Ave, Apt # 204, Los Angeles, CA 90034 | 2016-09-01 |
1134675440 | Noelle Antoinette Avellino | Social Worker | 3384 Motor Ave., Los Angeles, CA 90034 | 2016-08-28 |
Find all providers in zip 90034 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548760606 | Mary Walton | Nurse Practitioner | 1578 Colorado Blvd Ste B, Los Angeles, CA 90041-1451 | 2018-02-15 |
1013459981 | Scarlett Vanessa Grandy | Nurse Practitioner | 1513 S Grand Ave Ste 220, Los Angeles, CA 90015-3075 | 2016-11-09 |
1437609534 | Melissa Wilhelm | Nurse Practitioner | 8631 W 3rd St Ste 510, Los Angeles, CA 90048 | 2016-10-12 |
1710261177 | Julia Reger | Nurse Practitioner | 554 N Plymouth Blvd, Los Angeles, CA 90004-1411 | 2011-10-04 |
1992083877 | Talya Waldman | Nurse Practitioner | 8631 W Third Street, Suite 740 East, Los Angeles, CA 90048 | 2011-07-27 |
1548568728 | Marion M Mayer | Nurse Practitioner | 9911 West Pico Blvd Suite 500, Los Angeles, CA 90035 | 2011-03-11 |
1205024171 | Virginia Villegas | Nurse Practitioner | 4156 S Central Ave, Los Angeles, CA 90011-3154 | 2007-10-04 |
1003037466 | Antoinette Zaragoza | Nurse Practitioner | 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022-0000 | 2007-05-02 |
1346306917 | Cherokee Lynette Lavalley | Nurse Practitioner | 10024 S Vermont Ave, Los Angeles, CA 90044-3112 | 2006-12-28 |
1235213901 | Raisa Howard | Nurse Practitioner | 12304 Santa Monica Blvd., Ste # 208, Los Angeles, CA 90025 | 2006-10-25 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90034 |
Please comment or provide details below to improve the information on JUDY B WITTENBERG BRAVARD.
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.