Ken Iven Bantol, PMHNP-BC | |
10400 Gloria Ave, Granada Hills, CA 91344-7123 | |
(818) 867-0500 | |
Not Available |
Full Name | Ken Iven Bantol |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 10400 Gloria Ave, Granada Hills, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841055811 | NPI | - | NPPES |
95027351 | Other | CA | NURSE PRACTITIONER FURNISHING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95027351 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ken Iven Bantol, PMHNP-BC 10400 Gloria Ave, Granada Hills, CA 91344-7123 Ph: () - | Ken Iven Bantol, PMHNP-BC 10400 Gloria Ave, Granada Hills, CA 91344-7123 Ph: (818) 867-0500 |
Caryn Gyzel Santiago, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17109 Rosnick Pl, Granada Hills, CA 91344 Phone: 818-445-9503 | |
Violeta Papazyan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16358 Keeler Dr, Granada Hills, CA 91344 Phone: 818-405-7764 | |
Katherine Sobczak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11541 Blucher Ave Unit 125, Granada Hills, CA 91344 Phone: 818-648-7321 | |
Mr. Antonio Cardona Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15625 Odyssey Dr Unit 48, Granada Hills, CA 91344 Phone: 818-741-5683 | |
Ulpiana Shemane Anasco Santiago, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17635 Clymer St, Granada Hills, CA 91344 Phone: 213-249-0758 | |
Joan Bell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11862 Balboa Blvd, Granada Hills, CA 91344 Phone: 818-366-1736 | |
Armine T Manokian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18037 Gauguin Ln, Granada Hills, CA 91344 Phone: 818-389-5669 |