Jeannette Deron (NPI# 1982206710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1982206710 |
Entity Type | Individual |
Full Name | Jeannette Deron |
Gender | Female |
Practice Address |
3108 Glendale Blvd # 123 Los Angeles CA 90039-1806 |
Practice Telephone | 6197279910 |
Mailing Address |
3108 Glendale Blvd # 123 Los Angeles CA 90039-1806 |
Sole Proprietor | Yes, this individual is a Sole Proprietor |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
Yes | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 343353 | CA |
No | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 34353 | CA |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871198861 | Maddison Lee Katchem | Massage Therapist | 3720 Barham Blvd Apt A106, Los Angeles, CA 90068-1035 | 2020-11-30 |
1356945992 | Orawan Karam | Massage Therapist | 1531 N Serrano Ave Apt 5, Los Angeles, CA 90027-4828 | 2020-11-24 |
1275136533 | Vasana Saksom | Massage Therapist | 5426 Harold Way Apt 302a, Los Angeles, CA 90027-5687 | 2020-11-19 |
1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
1841899119 | Sonjia Breth | Massage Therapist | 10500 National Blvd Apt 40, Los Angeles, CA 90034-3624 | 2020-10-19 |
1114526563 | Clara Vazquez | Massage Therapist | 3329 W Sunset Blvd, Los Angeles, CA 90026-2117 | 2020-10-17 |
1376141788 | Rungaroon Seewai | Massage Therapist | 124 N Oxford Ave Apt 214, Los Angeles, CA 90004-4216 | 2020-10-16 |
1821696238 | Robin Quincey | Massage Therapist | 1825 S Crescent Heights Blvd, Los Angeles, CA 90035-4616 | 2020-10-16 |
1245838887 | Luis Bravo | Massage Therapist | 2526 Mayberry St, Los Angeles, CA 90026-2320 | 2020-10-15 |
1497353940 | Chalisa Thavonrungkit | Massage Therapist | 5440 Carlton Way Apt 105, Los Angeles, CA 90027-4878 | 2020-10-15 |
Find all providers in LOS ANGELES |
Street Address |
3108 GLENDALE BLVD # 123 |
City | LOS ANGELES |
State | CA |
Zip Code | 90039-1806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891298642 | Shlomit Yelin-arber | Marriage & Family Therapist | 3401 Glendale Blvd Rm 2, Los Angeles, CA 90039 | 2018-03-16 |
1306385646 | Robert Dao | Pharmacist | 11115 S Main St, Los Angeles, Ca, Los Angeles, CA 90039 | 2017-02-20 |
1528437951 | Marcos Farias | Licensed Vocational Nurse | 3108 Hollydale Drive Apt 102, Los Angeles, CA 90039 | 2015-09-16 |
1578962312 | Alexandria Trubatisky | Nurse Practitioner | 3026 Casitas Ave, Los Angeles, CA 90039 | 2014-08-18 |
1780003350 | Amanda Cohen | Acupuncturist | 3036 Glendale Blvd., Los Angeles, CA 90039 | 2014-04-10 |
1710231568 | Alan Russell Hedman | Counselor | 3352 Larga Ave, Los Angeles, CA 90039 | 2012-11-01 |
1427317486 | Christopher Peabody | Emergency Medicine | 1200 North State Street Room 1011, Los Angeles, CA 90039 | 2012-05-11 |
1447529359 | Janein Chavez | Marriage & Family Therapist | 3111 Los Feliz Blvd Ste 205, Los Angeles, CA 90039 | 2011-12-21 |
1265727358 | Erzsebet Olah | Licensed Vocational Nurse | 2586 Lake-view Ave, Los Angeles, CA 90039 | 2011-06-16 |
1750691168 | Sharon Furman | Specialist | 3147 Glenmanor Place, 145d, Los Angeles, CA 90039 | 2010-10-19 |
Find all providers in zip 90039 |
City | LOS ANGELES |
Zip Code | 90039 |
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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.