Fernand Bamba Taruc, | |
7471 Foothill Blvd, Tujunga, CA 91042-2726 | |
(818) 352-9560 | |
Not Available |
Full Name | Fernand Bamba Taruc |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 7471 Foothill Blvd, Tujunga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457557779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 95012147 (California) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 95012147 (California) | Primary |
Entity Name | Intel Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407368236 PECOS PAC ID: 2769749985 Enrollment ID: O20171127000794 |
Mailing Address | Practice Location Address |
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Fernand Bamba Taruc, 11014 Eldora Ave, Sunland, CA 91040-2005 Ph: () - | Fernand Bamba Taruc, 7471 Foothill Blvd, Tujunga, CA 91042-2726 Ph: (818) 352-9560 |
Hanna Park, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7204 Foothill Blvd, Tujunga, CA 91042 Phone: 818-352-8333 | |
Lilith Garibyan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7204 Foothill Blvd, Tujunga, CA 91042 Phone: 626-791-9004 | |
David Mamik Mikaelian, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10131 Fernglen Ave, Tujunga, CA 91042 Phone: 818-669-3848 | |
Susan Bayamdzhyan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10415 Pinyon Ave, Tujunga, CA 91042 Phone: 818-235-6809 | |
Ojeni Mardirousi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10655 Tujunga Canyon Blvd Apt 104, Tujunga, CA 91042 Phone: 818-859-3067 | |
Ms. Christina Marjorie Nelson, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6638 Saint Estaban St, Tujunga, CA 91042 Phone: 818-353-6103 |