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CRANIOFACIAL/CLEFT PALATE PROGRAM
NPI 1093959900
Specialist in Los Angeles, CA

Active since April 22, 2009
403 W ADAMS BLVD, 4TH FLOOR, LOS ANGELES, CA 90007(213) 742-1433(213) 742-1496 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craniofacial/cleft Palate Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRANIOFACIAL/CLEFT PALATE PROGRAM (NPI 1093959900), doing business as Cleft Palate Program Medical Practice Group, is a healthcare organization registered as a specialist in Los Angeles, California and active in the NPI registry since April 2009. The organization lists Libby F Wilson, Plastic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1093959900
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCRANIOFACIAL/CLEFT PALATE PROGRAM
Location Address403 W ADAMS BLVD, 4TH FLOORLos Angeles, CA 90007-2664
Mailing Address403 W Adams Blvd, 4th FloorLos Angeles, CA 90007-2664 · (213) 742-1433 · Fax (213) 742-1496
Phone(213) 742-1433
Fax(213) 742-1496
Organization SubpartNo
Authorized OfficialLibby F WilsonPlastic Surgeon · (213) 742-1433
Enumeration DateApril 22, 2009
Last NPPES UpdateAugust 18, 2015
✔ NPI 1093959900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
403 W ADAMS BLVD, Los Angeles, CA 90007
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Other Names 1

Former Legal Business NameCleft Palate Program Medical Practice Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER VICTORIA VERA OTD, OTR/L
Occupational Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
MIRNA ARACELY GUZMAN PTA
Physical Therapy Assistant
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1450
MS. RACHELLE ANN MARIE SUE NP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
CINDY BAILEY DPT, OCS, SCS, ATC
Physical Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1460
ROBERT SEAN WARNOCK ARNP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 741-8330
KEVIN BOWER FNP, BSN, RN, ATC
Registered Nurse
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
DR. JAY ISAAC STEVEN SEMEL DPT
Physical Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1450
CLAUDIA ELIZABETH MARTINEZ NP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craniofacial/Cleft Palate Program's NPI number?

The NPI number for Craniofacial/Cleft Palate Program is 1093959900. It was assigned to this organization in the NPPES registry on April 22, 2009. The provider was formerly known as Cleft Palate Program Medical Practice Group.

Where is Craniofacial/Cleft Palate Program located?

Craniofacial/Cleft Palate Program is located at 403 W Adams Blvd 4th Floor, Los Angeles, CA 90007. The listed phone number is (213) 742-1433.

What is Craniofacial/Cleft Palate Program's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Craniofacial/Cleft Palate Program was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.