GUADALUPE L. KIRKLIN MS, PHD CANDIDATE, NPI 1891904777 — LOS ANGELES (CA)

NPI 1891904777

12+ Years Experience Individual

GUADALUPE L. KIRKLIN MS, PHD CANDIDATE

05/21/2007
PROVIDER ENUMERATION DATE
12/18/2018
LAST UPDATE DATE
1891904777
NPI NUMBER

About GUADALUPE L. KIRKLIN

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

GUADALUPE L. KIRKLIN is a provider established in LOS ANGELES, CA. The NPI number of GUADALUPE L. KIRKLIN is 1891904777 and was assigned on 05/21/2007. The practitioners primary taxonomy code is: 390200000X .

Mailing address

  • City: RESEDA
  • State: CA
  • Postal code: 913355242
  • Phone: 8057019894
  • Address: 18720 WELBY WAY

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1891904777
  • Phone : 2138424584
  • Fax : 8445225042
  • Postalcode : 90017
  • Address : 611 WILSHIRE BLVD STE 1002

Provider taxonomy - Student in an Organized Health Care Education/Training Program

  • Taxonomy code: 390200000X

The taxonomy is not the primary taxonomy.

Taxonomy description: 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.

Healthcare provider taxonomy #2 - Counselor

  • Taxonomy code: 101YM0800X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • GUADALUPE L. KIRKLIN MS, PHD CANDIDATE
  • Address : 611 WILSHIRE BLVD STE 1002
  • Region : LOS ANGELES, CA
  • NPI : 1891904777
  • Phone : 2138424584
  • Fax : 8445225042
  • Postalcode : 90017

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address611 WILSHIRE BLVD STE 1002
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code90017
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2138424584
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number8445225042
The fax number associated with the location address of the provider being identified.
NPI1891904777
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1390200000X
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.
Provider Enumeration Date05/21/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated12/18/2018
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)GUADALUPE L. KIRKLIN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address18720 WELBY WAY
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameRESEDA
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code913355242
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number8057019894
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1390200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Student in an Organized Health Care Education/Training Program
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.
Healthcare Provider Primary Taxonomy Switch 1N
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code 2101YM0800X
Healthcare Provider Taxonomy 2Counselor
Healthcare Provider Primary Taxonomy Switch 2Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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