Penelope Kyriazi

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

298981 Issued in CA

Practice address

5214 E Los Altos PLZ
Long Beach, CA 90815-4251

Phone

(562) 597-3035

NPI assigned

Sep 29, 2020

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Penelope Koulos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1174130637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 POMONA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033534",
            "telephone_number": "562-252-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 E LOS ALTOS PLZ",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154251",
            "telephone_number": "562-597-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYRIAZI",
        "first_name": "PENELOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "298981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "KOULOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darline Spring Ky, PHARMD
• Tom Ky, M.D.
• Hilary Kyle
• Claudia Elizabeth Kynard
• Michael John Kyriacou, PT, DPT, CSCS
• L a Endocrine Care Inc (Diana Echeverry Franck, M.D.)
• L.a. County Probation Dept.
• Melissa L'Heureux
• La Coast Pace, LLC
• La County DMH

• Physical Medicine & Rehabilitation Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.