Angelica Menchaca, FNP-C | |
4418 Vineland Ave, Toluca Lake, CA 91602-3457 | |
(818) 842-7145 | |
Not Available |
Full Name | Angelica Menchaca |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4418 Vineland Ave, Toluca Lake, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1831654573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95010712 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Premiere Medical Center Of Burbank, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831329218 PECOS PAC ID: 4688709744 Enrollment ID: O20100316000142 |
Mailing Address | Practice Location Address |
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Angelica Menchaca, FNP-C 17600 Rinaldi St, Granada Hills, CA 91344-3321 Ph: (818) 455-6188 | Angelica Menchaca, FNP-C 4418 Vineland Ave, Toluca Lake, CA 91602-3457 Ph: (818) 842-7145 |
Amanda Renee Layman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10757 Hortense St Apt 105, Toluca Lake, CA 91602 Phone: 818-802-9649 | |
Shima Pezeshki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11218 Camarillo St Apt 307, Toluca Lake, CA 91602 Phone: 310-500-9068 | |
Mrs. Samantha M Matros, M.S.N., F.N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4418 Vineland Ave # 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-953-2839 | |
Mrs. Victoria J. Chan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-842-8202 | |
Alice Lee A Benjamin, ACNS-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11325 Riverside Dr, Toluca Lake, CA 91602 Phone: 619-252-8796 |