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: KATHRYN ALYCE HENICK M.D.

MEDICARE: KATHRYN ALYCE HENICK M.D.
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
1207RH0003XHematology & Oncology PhysicianG78994CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G78994OTHERCACALIFORNIA LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912972779
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ALYCE HENICK M.D.
Provider Business Mailing Address
First Line : 2021 SANTA MONICA BLVD.
Second Line : SUITE 400E
City : LOS ANGELES
State : CA
Zip : 90064-3205
Country : US
Telephone Number : 310-453-5654
Fax Number : 310-453-6885
Provider Business Practice Location Address
First Line : 2021 SANTA MONICA BLVD
Second Line : SUITE 400E
City : SANTA MONICA
State : CA
Zip : 90404-2208
Country : US
Telephone Number : 310-453-5654
Fax Number : 310-453-6885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 03/07/2023

Similar Medicare Providers

1538163878 — ORTHOPROS INC
Practice Location Address:
2021 SANTA MONICA BLVD , STE 104E
SANTA MONICA, CA
90404-2208
Practice Phone: 310-828-7485
Practice Fax: 310-828-7067
1255333407 — DR. RICHARD LLWELLYN TAW JR. M.D.
Practice Location Address:
2021 SANTA MONICA BLVD , STE 212E
SANTA MONICA, CA
90404-2208
Practice Phone: 310-829-4327
Practice Fax: 310-453-4348
1437121282 — SURGICAL ASSOCIATES OF SANTA MONICA A MEDICAL GROUP
Practice Location Address:
2021 SANTA MONICA BLVD , STE 625 EAST
SANTA MONICA, CA
90404-2208
Practice Phone: 310-453-8838
Practice Fax: 310-453-8355
1447219142 — PATRICIA MARIE MURRAY M.D.
Practice Location Address:
2021 SANTA MONICA BLVD , SUITE #530E
SANTA MONICA, CA
90404-2208
Practice Phone: 310-315-5440
Practice Fax: 310-828-7422
1063476448 — DR. THOMAS ALAN HANSCOM MD
Practice Location Address:
2021 SANTA MONICA BLVD , SUITE # 720E
SANTA MONICA, CA
90404-2208
Practice Phone: 310-829-3303
Practice Fax: 310-829-3301
1801846423 — DOUGLAS M FREEDMAN MD
Practice Location Address:
2021 SANTA MONICA BLVD , #545E
SANTA MONICA, CA
90404-2208
Practice Phone: 310-828-2042
Practice Fax: 310-828-9581

Directions to “ KATHRYN ALYCE HENICK M.D.” 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 © 2007-2025 (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.