Charlotte Capulong, NP-C | |
130 West Route 66, Ste 326, Glendora, CA 91740-6252 | |
(626) 963-8588 | |
(626) 963-8578 |
Full Name | Charlotte Capulong |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 130 West Route 66, Glendora, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417370065 | NPI | - | NPPES |
NP23824 | Other | CA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP23824 (California) | Primary |
Entity Name | Mayflower Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932146370 PECOS PAC ID: 6901804350 Enrollment ID: O20061120000235 |
Mailing Address | Practice Location Address |
---|---|
Charlotte Capulong, NP-C Po Box 457, San Dimas, CA 91773-0457 Ph: (909) 971-9334 | Charlotte Capulong, NP-C 130 West Route 66, Ste 326, Glendora, CA 91740-6252 Ph: (626) 963-8588 |
Dennis Poon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 E Ada Ave, Glendora, CA 91741 Phone: 626-353-8267 | |
Jennifer Lynn Guzman, DNP, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 W Route 66 Ste 202, Glendora, CA 91740 Phone: 714-726-3623 | |
Mrs. Anna Lynn Edwards, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Leadora Ave, Glendora, CA 91741 Phone: 626-963-5018 | |
Sasinee Jade Bhosai, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 S Grand Ave, Glendora, CA 91741 Phone: 626-914-1980 | |
Nancy Rehfeld, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1620 S Grand Ave, Glendora, CA 91740 Phone: 626-335-1919 Fax: 626-335-1911 | |
Joseph Steven Munizich, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 646 S Minnesota Ave, Glendora, CA 91740 Phone: 323-803-8589 | |
Lina Marcela Rios Restrepo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1365 S Grand Ave, Glendora, CA 91740 Phone: 626-857-2580 |