Brandon Cole Manibog, FNP-C | |
26910 Sierra Hwy Ste D8, Newhall, CA 91321-2262 | |
(661) 210-3240 | |
Not Available |
Full Name | Brandon Cole Manibog |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 26910 Sierra Hwy Ste D8, Newhall, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861161689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95018275 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Entity Name | Em Alliance California Apc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376305755 PECOS PAC ID: 1951749894 Enrollment ID: O20240410003580 |
Mailing Address | Practice Location Address |
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Brandon Cole Manibog, FNP-C 28576 Foothill Way, Santa Clarita, CA 91350-3290 Ph: (928) 514-9131 | Brandon Cole Manibog, FNP-C 26910 Sierra Hwy Ste D8, Newhall, CA 91321-2262 Ph: (661) 210-3240 |
Mrs. Anthonia Atinuke Sulaiman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24221 La Glorita Cir, Newhall, CA 91321 Phone: 661-609-9864 | |
Courtney Kosnik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24411 Cheryl Kelton Pl, Newhall, CA 91321 Phone: 310-897-7014 | |
Mrs. Teresa Cha Waggoner, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23772 Newhall Avenue, Newhall, CA 91321 Phone: 661-291-1777 Fax: 661-255-1208 | |
Ms. Coleen A Harkins, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24355 Lyons Ave, Newhall, CA 91321 Phone: 661-255-9355 | |
Marine Yahyayan, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24636 Jena Dr, Newhall, CA 91321 Phone: 818-378-1654 |