Elizabeth Tieu, | |
1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 | |
(310) 829-4403 | |
Not Available |
Full Name | Elizabeth Tieu |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1821 Wilshire Blvd Ste 100, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487357224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 95024578 (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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Elizabeth Tieu, 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 Ph: () - | Elizabeth Tieu, 1821 Wilshire Blvd Ste 100, Santa Monica, CA 90403-5627 Ph: (310) 829-4403 |
Claudia L Wong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 20th St Ste 150, Santa Monica, CA 90404 Phone: 310-582-7641 Fax: 310-315-4069 | |
Breanne Grazer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-453-1324 | |
Ermina Cavcic, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 424-259-8262 | |
Brittany Masters, MSN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1450 10th St, Suite 404, Santa Monica, CA 90401 Phone: 310-451-8144 Fax: 310-451-3414 | |
Cristina Shallenberger, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 Santa Monica Blvd, Suite 600 East, Santa Monica, CA 90404 Phone: 310-828-2282 | |
Misbah Akbar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2121 Wilshire Blvd Ste 303, Santa Monica, CA 90403 Phone: 805-719-3700 Fax: 805-413-9099 | |
Deborah Campana Winstead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 424-259-7208 |