DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: QUEANA MCKILLIAN

MEDICARE: QUEANA MCKILLIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW138145CA
21041C0700XClinical Social Worker126597CA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598213787
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUEANA MCKILLIAN
Provider Business Mailing Address
First Line : 3031 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-373-2400
Fax Number :
Provider Business Practice Location Address
First Line : 5054 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-2946
Country : US
Telephone Number : 323-373-2444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2016
Last Update Date : 04/27/2026

Similar Medicare Providers

1306981295 — MR. RODNEY JACKSON
Practice Location Address:
5054 S VERMONT AVE
LOS ANGELES, CA
90037-2946
Practice Phone: 323-373-2444
Practice Fax:
1881719177 — KARRERA CORENA JOSEPH LMFT
Practice Location Address:
5054 S VERMONT AVE
LOS ANGELES, CA
90037-2946
Practice Phone: 323-373-2444
Practice Fax:
1801065438 — WELLNEST EMOTIONAL HEALTH & WELLNESS
Practice Location Address:
5054 S VERMONT AVE
LOS ANGELES, CA
90037-2946
Practice Phone: 323-373-2400
Practice Fax:
1770720443 — JUAN ISAIAS ALVAREZ
Practice Location Address:
5054 S VERMONT AVE
LOS ANGELES, CA
90037-2946
Practice Phone: 323-373-2444
Practice Fax:
1639403983 — ANTHONY JASON DURHAM
Practice Location Address:
5054 S VERMONT AVE
LOS ANGELES, CA
90037-2946
Practice Phone: 323-373-2444
Practice Fax:
1871883827 — MS. ALEJANDRA DEPAZ MA
Practice Location Address:
5054 S VERMONT AVE
LOS ANGELES, CA
90037-2946
Practice Phone: 323-373-2444
Practice Fax:

Directions to “ QUEANA MCKILLIAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.