SEYMOURA RAYCHANEL WILSON (NPI# 1134719800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134719800 |
Entity Type | Individual |
Full Name | SEYMOURA RAYCHANEL WILSON |
Gender | Female |
Credential | CRT HAIR LOSS SPT |
Practice Address | 3411 Crenshaw Blvd Apt 511 Los Angeles CA 90016-4879 |
Practice Telephone | 3236141465 |
Mailing Address | 1915 Leighton Ave Los Angeles CA 90062-1316 |
Mailing Telephone | 3236141465 |
Certification Date | 2021-01-26 |
Enumeration Date | 2021-01-26 |
Last Update Date | 2021-01-26 |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 1744P3200X | Specialist Specialization: Prosthetics Case Management | Other Service Providers | |||
N | 332BC3200X | Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment | Suppliers | |||
N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
Street Address | 3411 CRENSHAW BLVD APT 511 |
City | LOS ANGELES |
State | CA |
Zip Code | 90016-4879 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942806112 | Juanita Miller | Case Manager/Care Coordinator | 3606 W Exposition Ave, Losangeles, CA 90016 | 2020-12-11 |
1790334134 | Rodef & Yousefi Dental Corporation | Dentist · Orthodontics and Dentofacial Orthopedics | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
1891278016 | Harold Ringgold Jr. | Counselor · Addiction (Substance Use Disorder) | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
1063819084 | Karina Ann Chandler-Ziegler | Counselor · Addiction (Substance Use Disorder) | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
1801299136 | Smith Medical Management · Smith Medical Billing | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
1366844144 | No Dorm Inc. · Washington Manor | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
Find all providers in zip 90016 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568052421 | Sharon Palacio | 3042 1/2 S Norton Ave, Los Angeles, CA 90018-3244 | 2021-01-24 | |
1346839636 | Latranae Kenyette Rouse | 6751 4th Ave, Los Angeles, CA 90043-4460 | 2021-01-12 | |
1154888345 | Jacqueline Elise Bell | 222 S Figueroa St Apt 212, Los Angeles, CA 90012-2506 | 2019-02-25 | |
1629493309 | More Hair Extensions | 4937 W Slauson Ave Ste B2, Los Angeles, CA 90056-1600 | 2014-03-04 | |
1689844813 | Sanjay Suresh Kawankar | 1750 S La Cienega Blvd, Los Angeles, CA 90035-4602 | 2008-03-04 | |
1467539106 | Mary Healy | 11301 Wilshire Blvd., Los Angeles, CA 90073-1003 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285224246 | Demetris Pierson | 24251 Town Center Drive 175, Studio 217, Valencia, CA 91355-9135 | 2021-01-24 | |
1275123234 | Shendona Cole | 763 S Main St Ste 100-101, Orange, CA 92868-4610 | 2021-01-24 | |
1568052421 | Sharon Palacio | 3042 1/2 S Norton Ave, Los Angeles, CA 90018-3244 | 2021-01-24 | |
1174113138 | Johnetta J Walker | 4152 Macarthur Blvd, Oakland, CA 94619-1906 | 2021-01-24 | |
1720678782 | Ebony Williams | 313 N La Brea Ave Ste 110, Inglewood, CA 90302-3400 | 2021-01-24 | |
1346839636 | Latranae Kenyette Rouse | 6751 4th Ave, Los Angeles, CA 90043-4460 | 2021-01-12 | |
1740882315 | Jerry A Reaves | 46227 Timbermine Ln, Temecula, CA 92592-4131 | 2020-11-09 | |
1215549993 | Lisa Tonette Bell | 18300 Gridley Rd # 210, Artesia, CA 90701-5440 | 2020-08-23 | |
1760094445 | Constance Leake | 2841 Martin Luther King Jr Ave, Richmond, CA 94804-4021 | 2020-08-23 | |
1508478090 | Sharon Leduff Spencer · Sharon Leduff Barker | 17942 Sky Park Cir Ste D, Irvine, CA 92614-4429 | 2020-08-18 | |
Find all providers in the same taxonomy |
City | LOS ANGELES |
Zip Code | 90016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992087282 | Wilson & Wilson, Dds Pllc · Wilson & Wilson Dentistry | Dentist · General Practice | 1611 Kresky Ave Ste 118, Centralia, WA 98531-8982 | 2011-09-13 |
1104987429 | Wilson School District · Wilson Primary Or Wilson Elementary | Registered Nurse | 2929 E Fillmore St, 415 N. 30th St, Phoenix, AZ 85008-6159 | 2006-12-12 |
1639299571 | Ssc Wilson Operating Company LLC · Brian Center Health & Rehabilitation - Wilson | Custodial Care Facility | 2501 Downing St Sw, Wilson, NC 27893-4517 | 2007-03-31 |
1891998951 | Wilson Medical Center · West Wilson Internal Medicine | Specialist | 3520 Airport Blvd Nw Ste F, Wilson, NC 27896-8674 | 2007-06-07 |
1639592116 | Wilson Medical Center, Inc. · Pulmonary Associates of Wilson | Internal Medicine | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2014-02-04 |
1508185299 | Wilson Medical Center, Inc. · Wilson Arthritis & Osteoporosis | Internal Medicine · Rheumatology | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2010-05-20 |
1467507640 | County of Wilson · Wilson Co. Dept. of Public Health | Clinic/Center · Medical Specialty | 1801 Glendale Dr Sw, Wilson, NC 27893-4401 | 2007-01-25 |
1235422510 | Wilson Medical Center, Inc. · Wilson Gastroenterology | Internal Medicine · Gastroenterology | 2605 Forest Hills Rd Sw, Wilson, NC 27893-4448 | 2011-05-19 |
1598942716 | Surgery Center of Wilson, LLC · Surgecenter of Wilson | Clinic/Center · Ambulatory Surgical | 1709 Medical Park Dr W, Wilson, NC 27893-2788 | 2008-01-30 |
1033438718 | Wilson Medical Center, Inc. · Wilson Neurology | Psychiatry & Neurology · Neurology | 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | 2010-05-20 |
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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.