BRETT STEPHAN
Registered Nurse

Address: 4633 Vermont Pl Apt 210, Los Angeles, CA 90029-1872

BRETT STEPHAN (NPI# 1518544477) 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) 1518544477
Entity Type Individual
Full Name BRETT STEPHAN
Gender Male
Practice Address 4633 Vermont Pl Apt 210
Los Angeles
CA 90029-1872
Practice Telephone 6128257707
Mailing Address 4633 Vermont Pl Apt 210
Los Angeles
CA 90029-1872
Mailing Telephone 6128257707
Certification Date 2021-03-26
Enumeration Date 2021-03-26
Last Update Date 2021-03-26
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 163W00000X Registered Nurse 95064050 CA Nursing Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4633 VERMONT PL APT 210
City LOS ANGELES
State CA
Zip Code 90029-1872

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1043802937 Dr. Stephanie Mcclellen, Md PC Obstetrics & Gynecology - Gynecology 3921 W. Sunset Boulevard, Los Angeles, CA 90029 2021-02-11
1053884775 Melrose Recovery, LLC. Substance Abuse Rehabilitation Facility 1253 N Commonwealth Ave, Los Angeles, CA 90029 2019-01-04
1548740939 Mission City Community Network Inc Clinic/Center 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 2018-08-15
1295838167 Evelyn Cuaresma Rivero General Practice 4352 Fountain Avenue, L A, CA 90029 2006-09-06
1689132284 Mama and Papa Bear's Innovations, Inc Substance Abuse Rehabilitation Facility 5324 Fountain Ave, Los Angeles, CA 90029-1005 2019-03-04
1285191973 Jack Taglyan Counselor - Addiction (Substance Use Disorder) 5322 Fountain Ave, Los Angeles, CA 90029-1005 2019-02-28
1033621115 Leigh Ann Ives Speech-Language Pathologist 5310 Fountain Ave, Los Angeles, CA 90029-1005 2017-10-30
1033733712 Francis Angelo Victorio Physical Therapy Assistant 5401 Fountain Ave, Los Angeles, CA 90029-1006 2020-05-29
1174160196 Mary Abarquez Occupational Therapist 5400 Fountain Ave, Los Angeles, CA 90029-1007 2019-12-09
1235770553 Jem Dynamics Inc Point of Service 1268 N Hobart Blvd, Los Angeles, CA 90029-1110 2019-10-08
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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
1902487382 Shaunpaul Jones Student in an Organized Health Care Education/Training Program 2020 Zonal Ave # Ird115, Los Angeles, CA 90089-0121 2021-04-18
1316528904 Alden Huang Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Pathology and Laboratory Medicine, Los Angeles, CA 90095-7419 2021-04-15
1285215830 Jessica Membreno Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Psychiatry, Los Angeles, CA 90095-7419 2021-04-15
1104407790 Jessica Renee Ong Student in an Organized Health Care Education/Training Program 969 Hilgard Ave Apt 1208, Los Angeles, CA 90024-3002 2021-04-15
1003497793 Emily Su Lee Student in an Organized Health Care Education/Training Program 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2021-04-15
1730769506 Varun Gudapati Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Orthopedic Surgery, Los Angeles, CA 90095-7419 2021-04-14
1326628652 Peerapol Wangrattanapranee Student in an Organized Health Care Education/Training Program 1200 N. State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 2021-04-12
1174102818 Whitney Orji Student in an Organized Health Care Education/Training Program 10833 Le Conte Ave # 72, Los Angeles, CA 90095-3075 2021-04-07
1912586207 Erick Martinez Juarez Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, (neurology), Los Angeles, CA 90095-7419 2021-04-05
1225617541 Alexandria Chloe Wellman Student in an Organized Health Care Education/Training Program 757 Westwood Plaza, Pathology, Los Angeles, CA 90095-7419 2021-04-05
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Competitor

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City LOS ANGELES
Zip Code 90029

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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.

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