Gianni Samantha Corilla-lazo, RN is a
Registered Nurse - Psychiatric/mental Health based in Patton, California. Gianni Samantha Corilla-lazo is licensed to practice in California (license number 95345000) and her current practice location is
3102 E Highland Ave, Patton, California. She can be reached at her office (for appointments etc.) via phone at
(909) 425-7000.
NPI number for Gianni Samantha Corilla-lazo is 1811711567 and her current mailing address is 16624 Sugar Ln, Fontana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811711567.
Provider's Profile
Full Name | Gianni Samantha Corilla-lazo |
---|
Gender | Female |
---|
Speciality | Registered Nurse - Psychiatric/mental Health |
---|
Location | 3102 E Highland Ave, Patton, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811711567
- Provider Enumeration Date: 11/11/2024
- Last Update Date: 11/11/2024
Medical Identifiers
Medical identifiers for Gianni Samantha Corilla-lazo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811711567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 95345000 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gianni Samantha Corilla-lazo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gianni Samantha Corilla-lazo, RN 16624 Sugar Ln, Fontana, CA 92337-7626 Ph: (909) 232-6186 | Gianni Samantha Corilla-lazo, RN 3102 E Highland Ave, Patton, CA 92369-7813 Ph: (909) 425-7000 |
Reviews and Comments