Kristi Lebesco, PMHNP | |
33971 Selva Rd, Dana Point, CA 92629-3788 | |
(949) 503-3851 | |
Not Available |
Full Name | Kristi Lebesco |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 33971 Selva Rd, Dana Point, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386279172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | 95044749 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95020751 (California) | Primary |
Entity Name | Progeny Psychiatric Clinic A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593 |
Mailing Address | Practice Location Address |
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Kristi Lebesco, PMHNP 33971 Selva Rd, Dana Point, CA 92629-3788 Ph: (949) 503-3851 | Kristi Lebesco, PMHNP 33971 Selva Rd, Dana Point, CA 92629-3788 Ph: (949) 503-3851 |
Eunjung Lee, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 32424 Crown Valley Pkwy, Apt 103, Dana Point, CA 92629 Phone: 201-381-9483 | |
Deanna Koschel, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34270 Pacific Coast Hwy Fl 3, Dana Point, CA 92629 Phone: 949-434-8438 Fax: 949-308-7789 |