Dunia Lizzeth Ponce, RNP | |
1403 Lomita Blvd Ste 100, Harbor City, CA 90710-2084 | |
(310) 784-5800 | |
(310) 530-9811 |
Full Name | Dunia Lizzeth Ponce |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 1403 Lomita Blvd Ste 100, 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 |
---|---|---|---|
1770617755 | NPI | - | NPPES |
415076 | Other | CA | RN |
NP 9739 | Other | CA | RNP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | NP9739 (California) | Primary |
Entity Name | Northeast Community Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700097540 PECOS PAC ID: 5193710275 Enrollment ID: O20040417000619 |
Mailing Address | Practice Location Address |
---|---|
Dunia Lizzeth Ponce, RNP 2550 W Main St Ste 301, Alhambra, CA 91801-7003 Ph: (626) 457-6900 | Dunia Lizzeth Ponce, RNP 1403 Lomita Blvd Ste 100, Harbor City, CA 90710-2084 Ph: (310) 784-5800 |
Angelita Domingo Bueno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811 | |
Rosemary Fleming, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Christina Cortez Van Guyse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Rose S Hurowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Renee D Wright, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Michelle Neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Janice M Boyk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |