MARK JEFFREY PHILLIPS
Student in an Organized Health Care Education/Training Program

Address: 1100 N State St, Clinic Tower, Suite A4d, Los Angeles, CA 90033-5000

MARK JEFFREY PHILLIPS (NPI# 1235723669) 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) 1235723669
Entity Type Individual
Full Name MARK JEFFREY PHILLIPS
Gender Male
Practice Address 1100 N State St
Clinic Tower, Suite A4d
Los Angeles
CA 90033-5000
Practice Telephone 3234095227
Mailing Address 1100 N State St
Clinic Tower, Suite A4d
Los Angeles
CA 90033-5000
Certification Date 2021-02-08
Enumeration Date 2021-02-25
Last Update Date 2021-02-25
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1100 N STATE ST
CLINIC TOWER, SUITE A4D
City LOS ANGELES
State CA
Zip Code 90033-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871120873 Erin Barletta Student in an Organized Health Care Education/Training Program 1100 N State St, Clinic Tower, Suite A7e, Los Angeles, CA 90033-1029 2020-03-27
1497388557 Jarred Edward Gettes Student in an Organized Health Care Education/Training Program 1100 N State St, Clinic Tower, A3c, Los Angeles, CA 90033 2020-02-18
1275165714 Yu Jiang Student in an Organized Health Care Education/Training Program 1100 N State St, Los Angeles, CA 90033-5000 2020-02-11
1265081665 Jenna Leigh Cramer Audiologist 1100 N State St, Los Angeles, CA 90033-5000 2019-09-09
1629538640 John Choi Student in an Organized Health Care Education/Training Program 1100 N State St, Los Angeles, CA 90033-5000 2019-03-25
1336634930 Jamie Ambros Registered Nurse · Ambulatory Care 1100 N State St, Los Angeles, CA 90033-5000 2018-06-26
1003301029 Kristen Rivas Social Worker · Clinical 1100 N State St, Los Angeles, CA 90033-5000 2018-06-22
1841783198 Jamie Wells Robledo Registered Nurse 1100 N State St, Los Angeles, CA 90033-5000 2018-06-12
1932692191 Ryan Acuna Registered Nurse · Ambulatory Care 1100 N State St, Los Angeles, CA 90033-5000 2018-06-12
1538662317 Graham Chester Arthur Ives Plastic Surgery 1100 N State St, Clinic Tower A7d, Los Angeles, CA 90033-5000 2018-03-17
Find all providers in the same address

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1255925772 Vandan R Kasar Student in an Organized Health Care Education/Training Program 1200 N State St, Clinic Tower, #1100, Los Angeles, CA 90033 2021-02-24
1639772601 Nelida Zevallos Registered Nurse 1720 E Cesar Chavez Ave., Los Angeles, CA 90033 2020-11-20
1770194839 Sideeka Ajulo Respiratory Therapist, Registered · Critical Care 2051 Marengo Street, Respiratory Department, Los Angeles, CA 90033 2020-08-12
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered · General Care 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1407475726 Nolan Broussard Student in an Organized Health Care Education/Training Program 1200 N State Street, Gnh 1060k, Los Angeles, CA 90033 2020-04-16
1821617135 Megan Eiko Fischer-Colbrie Student in an Organized Health Care Education/Training Program 1200 N. State St, Gnh 1060k, Los Angeles, CA 90033 2020-04-16
1134758055 Lady Gil Physical Therapist 2051 Marengo St, Los Angeles, CA 90033 2020-04-02
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
Find all providers in zip 90033

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306431051 Grace Lee 515 Columbia Ave, Los Angeles, CA 90017-1209 2021-03-04
1225623028 Trinh Nguyen 3031 S Vermont Ave, Los Angeles, CA 90007-3033 2021-03-03
1285229096 Kimberly Willis 3031 S Vermont Ave, Los Angeles, CA 90007-3033 2021-03-03
1588259345 Amanda Smith 3031 S Vermont Ave, Los Angeles, CA 90007-3033 2021-03-03
1972198786 Kelly Yu Chien Liao 3031 S Vermont Ave, Los Angeles, CA 90007-3033 2021-03-03
1912592007 Jodi Hwang 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2021-03-02
1740875822 Kaela Shea Goldberg 3031 S Vermont Ave, Los Angeles, CA 90007-3033 2021-03-01
1124612478 Betty Situ 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2021-02-26
1013501535 Arushi Atluri 1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2021-02-24
1255925772 Vandan R Kasar 1200 N State St, Clinic Tower, #1100, Los Angeles, CA 90033 2021-02-24
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90033

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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.