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: MAKALA MASSINBURG

MEDICARE: MAKALA MASSINBURG
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
1363A00000XPhysician AssistantTX

General Provider Information

NPI Number : 1871452474
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKALA MASSINBURG
Provider Business Mailing Address
First Line : 590 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 590 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2115
Country : US
Telephone Number : 866-508-2684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

Similar Medicare Providers

1447119037 — DAVID DUC VU NGUYEN PA-S
Practice Location Address:
590 N VERMONT AVE
LOS ANGELES, CA
90004-2115
Practice Phone: 323-284-7998
Practice Fax:
1255290532 — PAULINA REVELES PA-C
Practice Location Address:
590 N VERMONT AVE
LOS ANGELES, CA
90004-2115
Practice Phone: 323-284-7998
Practice Fax:
1295684496 — HAYLEY GEISTERFER
Practice Location Address:
590 N VERMONT AVE
LOS ANGELES, CA
90004-2115
Practice Phone: 970-310-3385
Practice Fax:
1104001197 — DR. MITCHELL DAVID CARTER D.C.
Practice Location Address:
590 N VERMONT AVE
LOS ANGELES, CA
90004-2115
Practice Phone: 323-906-2048
Practice Fax:
1770808842 — DR. FELIX LEE D.C.
Practice Location Address:
590 N VERMONT AVE
LOS ANGELES, CA
90004-2115
Practice Phone: 323-906-2064
Practice Fax:
1538522057 — MARINA DYKHNE
Practice Location Address:
590 N VERMONT AVE
LOS ANGELES, CA
90004-2115
Practice Phone: 323-351-0090
Practice Fax:

Directions to “ MAKALA MASSINBURG ” 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.