| Jessica Lauren Wyner, NP | |
|
12660 Riverside Dr Ste 225, North Hollywood, CA 91607-3469 | |
| (818) 755-0265 | |
| Not Available |
| Full Name | Jessica Lauren Wyner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 12660 Riverside Dr Ste 225, North Hollywood, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619643368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95017840 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Medical Organization A Medical Group Inc | 7618005166 | 64 |
| Entity Name | Lakeside Medical Organization A Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lauren Wyner, NP 12660 Riverside Dr, North Hollywood, CA 91607-3429 Ph: (818) 755-0391 | Jessica Lauren Wyner, NP 12660 Riverside Dr Ste 225, North Hollywood, CA 91607-3469 Ph: (818) 755-0265 |
Dr. Yekeen Adagbada Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601 Phone: 773-412-8828 | |
Hrachya Greg Grigoryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6422 Whitsett Ave Apt 202, North Hollywood, CA 91606 Phone: 818-861-4708 | |
Ms. Janetta Ellen Yanez, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836 | |
Alfonso Cruz Manuel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7653 Coldwater Canyon Ct, North Hollywood, CA 91605 Phone: 818-200-7062 | |
Victoria Vicky Ovakyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6248 Satsuma Ave, North Hollywood, CA 91606 Phone: 818-282-8174 | |
Harshdeep Singh Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11130 Otsego St Apt 431, North Hollywood, CA 91601 Phone: 559-394-8987 | |
Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412 |