Aishah Mandeel, NURSE PRACTITIONER | |
14971 Holt Ave, Tustin, CA 92780-3406 | |
(949) 356-7676 | |
Not Available |
Full Name | Aishah Mandeel |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 14971 Holt Ave, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063977270 | NPI | - | NPPES |
95011055 | Other | CA | CALIFORNIA BOARD OF REGISTERED NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 95011055 (California) | Primary |
Entity Name | Pinnacle Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
Mailing Address | Practice Location Address |
---|---|
Aishah Mandeel, NURSE PRACTITIONER 13446 Warren Pl, Victorville, CA 92395-8660 Ph: () - | Aishah Mandeel, NURSE PRACTITIONER 14971 Holt Ave, Tustin, CA 92780-3406 Ph: (949) 356-7676 |
Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090 | |
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466 | |
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800 | |
Jonathan Ramonty Chhean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 | |
Amanda Joy Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878 |