Buchi Stella Imoohi, FNP | |
6367 Puma Pl, Alta Loma, CA 91737-6513 | |
(909) 231-9242 | |
Not Available |
Full Name | Buchi Stella Imoohi |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 6367 Puma Pl, Alta Loma, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811137938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP17172 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Entity Name | Liberty Psychiatry And Mental Health A Professional Nursing Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194454546 PECOS PAC ID: 2365818150 Enrollment ID: O20221019001904 |
Entity Name | Scintadel Liberty Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164122800 PECOS PAC ID: 8820452139 Enrollment ID: O20230919003100 |
Mailing Address | Practice Location Address |
---|---|
Buchi Stella Imoohi, FNP 6367 Puma Pl, Alta Loma, CA 91737-6513 Ph: (909) 231-9242 | Buchi Stella Imoohi, FNP 6367 Puma Pl, Alta Loma, CA 91737-6513 Ph: (909) 231-9242 |
Tiffany Monique Horn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5537 Malachite Ave, Alta Loma, CA 91737 Phone: 909-560-5116 | |
Ms. Andrea Lewis, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4928 Clover Pl, Alta Loma, CA 91737 Phone: 909-948-5670 |