Candace Y Park, NP-C | |
301 N Azusa Ave, West Covina, CA 91791-1346 | |
(626) 214-2600 | |
Not Available |
Full Name | Candace Y Park |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 301 N Azusa Ave, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558709444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 23700 (California) | Primary |
Entity Name | Caremore Health Medical Partners West, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073110607 PECOS PAC ID: 8921419813 Enrollment ID: O20201125000882 |
Mailing Address | Practice Location Address |
---|---|
Candace Y Park, NP-C 301 N Azusa Ave, West Covina, CA 91791-1346 Ph: (626) 214-2600 | Candace Y Park, NP-C 301 N Azusa Ave, West Covina, CA 91791-1346 Ph: (626) 214-2600 |
Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547 | |
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154 | |
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393 | |
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246 | |
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117 | |
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553 | |
Jacqueline Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 S. Glendora Ave, West Covina, CA 91790 Phone: 616-250-5247 |