Dr Yekeen Adagbada Jr, | |
11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601-5654 | |
(773) 412-8828 | |
Not Available |
Full Name | Dr Yekeen Adagbada Jr |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 11049 Magnolia Blvd Apt 302, North Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003472309 | NPI | - | NPPES |
95011775 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95011775 (California) | Primary |
Entity Name | Southland Renal Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730110495 PECOS PAC ID: 3476580838 Enrollment ID: O20050718001019 |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Mailing Address | Practice Location Address |
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Dr Yekeen Adagbada Jr, 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601-5654 Ph: (773) 412-8828 | Dr Yekeen Adagbada Jr, 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601-5654 Ph: (773) 412-8828 |
Hrachya Greg Grigoryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6422 Whitsett Ave Apt 202, North Hollywood, CA 91606 Phone: 818-861-4708 | |
Ms. Janetta Ellen Yanez, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836 | |
Alfonso Cruz Manuel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7653 Coldwater Canyon Ct, North Hollywood, CA 91605 Phone: 818-200-7062 | |
Victoria Vicky Ovakyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6248 Satsuma Ave, North Hollywood, CA 91606 Phone: 818-282-8174 | |
Harshdeep Singh Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11130 Otsego St Apt 431, North Hollywood, CA 91601 Phone: 559-394-8987 | |
Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412 |