Christiana Abraham, NP | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(818) 375-2704 | |
Not Available |
Full Name | Christiana Abraham |
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Gender | Female |
Speciality | Registered Nurse |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447855911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95063417 (California) | Primary |
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
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Christiana Abraham, NP 834 N Juanita Ave Apt A, Redondo Beach, CA 90277-2229 Ph: (818) 524-8534 | Christiana Abraham, NP 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (818) 375-2704 |
Mr. Gino C Lazaro, DIRECTOR OF NURSING Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 23331 Maltby Pl, Harbor City, CA 90710 Phone: 310-486-5106 Fax: 424-263-4750 | |
Martin Lavertu, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Paula Ann Clark, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-920-9459 | |
Nicolette P Im, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-3150 | |
John Vincent Manzon Manzon, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1263 1/2 Anaheim St, Harbor City, CA 90710 Phone: 310-293-8535 | |
Natalieann Costanzo, N.P Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Suite 100, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811 |