CHERYL L BAGAN
NPI 1114594694
Rehabilitation Practitioner in Los Angeles, CA

Active since June 04, 2021
4240 W 62ND ST, LOS ANGELES, CA 90043(323) 290-2540 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2021, Jun 28, 2021, Jun 4, 2021 (3 updates tracked since 2021).

About Cheryl L Bagan NPPES

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

CHERYL L BAGAN (NPI 1114594694) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1114594694
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCHERYL L BAGAN
Location Address4240 W 62ND STLos Angeles, CA 90043-3615
Mailing Address5757 W Century Blvd Ste 303Los Angeles, CA 90045-6409 · (323) 290-2540
Sole ProprietorNo
Enumeration DateJune 4, 2021
Last NPPES UpdateSeptember 15, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
NPI 1114594694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
4240 W 62ND ST, Los Angeles, CA 90043

Other Providers at the Same Location NPPES 7

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

Rehabilitation Practitioner
4240 W 62ND ST
LOS ANGELES, CA 90043
Case Manager/Care Coordinator
4240 W 62ND ST
LOS ANGELES, CA 90043
Rehabilitation Practitioner
4240 W 62ND ST
LOS ANGELES, CA 90043
Community Health Worker
4240 W 62ND ST
LOS ANGELES, CA 90043
Rehabilitation Practitioner
4240 W 62ND ST
LOS ANGELES, CA 90043
Social Worker (Clinical)
4240 W 62ND ST
LOS ANGELES, CA 90043
Foster Care Agency
4240 W 62ND ST
LOS ANGELES, CA 90043

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 Cheryl Bagan's NPI number?

The NPI number for Cheryl Bagan is 1114594694. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Cheryl Bagan located?

Cheryl Bagan practices at 4240 W 62nd St, Los Angeles, CA 90043. The listed phone number is (323) 290-2540.

What is Cheryl Bagan's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Cheryl Bagan was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.