Amanda Rhoads, | |
740 S Allied Way, El Segundo, CA 90245-5514 | |
(310) 500-2045 | |
Not Available |
Full Name | Amanda Rhoads |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 740 S Allied Way, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164822789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 60502434 (Washington) | Primary |
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
---|---|
Amanda Rhoads, 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 Ph: (415) 658-6791 | Amanda Rhoads, 740 S Allied Way, El Segundo, CA 90245-5514 Ph: (310) 500-2045 |
Kenn Rafanan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Megan Puyau, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085 | |
Young Shin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Rodel Lumanog, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Taylor Cwiertniewicz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Victoria Desimone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 | |
Monica Casado Liyanage, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2175 Park Pl, El Segundo, CA 90245 Phone: 310-345-4200 |