SEYMOURA RAYCHANEL WILSON
Specialist (Prosthetics Case Management)

Address: 3411 Crenshaw Blvd Apt 511, Los Angeles, CA 90016-4879

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3411 CRENSHAW BLVD APT 511
City LOS ANGELES
State CA
Zip Code 90016-4879

Providers in the same zip code prefix

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
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LOS ANGELES
Zip Code 90016

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Dataset Information

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.