Alwyn Samson, | |
14245 Dearborn St, Panorama City, CA 91402-1917 | |
(213) 327-9848 | |
Not Available |
Full Name | Alwyn Samson |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 14245 Dearborn St, Panorama City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962055400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95011712 (California) | Primary |
Entity Name | Complete Care Community Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
Mailing Address | Practice Location Address |
---|---|
Alwyn Samson, 3000 S Robertson Blvd Ste 280, Los Angeles, CA 90034-3144 Ph: (310) 730-6362 | Alwyn Samson, 14245 Dearborn St, Panorama City, CA 91402-1917 Ph: (213) 327-9848 |
Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Ms. Tenika Nettles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9618 Van Nuys Blvd Apt 106, Panorama City, CA 91402 Phone: 323-684-4577 | |
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555 | |
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |