Larissa Todd, | |
26891 Aliso Creek Rd, Aliso Viejo, CA 92656-3392 | |
(949) 360-4081 | |
Not Available |
Full Name | Larissa Todd |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 26891 Aliso Creek Rd, Aliso Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013360106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP 95004416 (California) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Larissa Todd, File 50670, Los Angeles, CA 90074-0670 Ph: (888) 227-3312 | Larissa Todd, 26891 Aliso Creek Rd, Aliso Viejo, CA 92656-3392 Ph: (949) 360-4081 |
Vanessa Yvonne Santiago Vo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26891 Aliso Creek Rd, Aliso Viejo, CA 92656 Phone: 949-360-4081 | |
Yen Anker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24552 Pacific Park Dr, Aliso Viejo, CA 92656 Phone: 949-565-2377 | |
Elizabeth Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Journey Ste 210, Aliso Viejo, CA 92656 Phone: 949-305-7122 | |
Mary Lou Lao David, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bluff Cove Dr, Aliso Viejo, CA 92656 Phone: 949-360-0587 | |
Mrs. Stacy Tse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Journey Ste 130, Aliso Viejo, CA 92656 Phone: 949-360-1069 Fax: 949-389-8968 | |
Ms. Chalice Ann Addis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Sandcastle, Aliso Viejo, CA 92656 Phone: 949-637-0733 |