Jason Swiecki, FNP-BC | |
1600 S Gaffey St, San Pedro, CA 90731-4628 | |
(510) 847-6615 | |
Not Available |
Full Name | Jason Swiecki |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1600 S Gaffey St, San Pedro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013763416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95029938 (California) | Primary |
Entity Name | Dr Mona Shah Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053643171 PECOS PAC ID: 2062548084 Enrollment ID: O20100405000187 |
Mailing Address | Practice Location Address |
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Jason Swiecki, FNP-BC 711 Molino Ave, Long Beach, CA 90804-4759 Ph: (510) 847-6615 | Jason Swiecki, FNP-BC 1600 S Gaffey St, San Pedro, CA 90731-4628 Ph: (510) 847-6615 |
Chinenye Deborah Udoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 W 39th St Apt 3, San Pedro, CA 90731 Phone: 310-999-5410 | |
Tara Lynn Shafer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St Ste 200, San Pedro, CA 90732 Phone: 310-832-0686 | |
Elizabeth Servaites, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1249 W 13th St, San Pedro, CA 90731 Phone: 310-418-6010 | |
Lilia Isabel Stephenson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1921 W 26th St, San Pedro, CA 90732 Phone: 310-833-4661 | |
Jodi-anne Martina Davidson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 528 W 23rd St, San Pedro, CA 90731 Phone: 713-859-8840 | |
Susan T Barie, NP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W 5th St, San Pedro, CA 90731 Phone: 310-833-6526 |