| Laura Kay Villasenor, FNP-BC | |
|
4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 | |
| (949) 786-5050 | |
| Not Available |
| Full Name | Laura Kay Villasenor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 4980 Barranca Pkwy, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104170323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 22221 (California) | Primary |
| Entity Name | Avicenna Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750008041 PECOS PAC ID: 1254701246 Enrollment ID: O20230109002259 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Kay Villasenor, FNP-BC 115 Spanish Lace, Irvine, CA 92620-3424 Ph: (651) 335-6497 | Laura Kay Villasenor, FNP-BC 4980 Barranca Pkwy, Suite 200, Irvine, CA 92604-8645 Ph: (949) 786-5050 |
Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533 | |
Salma Essau Nawabi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14330 Culver Dr, Irvine, CA 92604 Phone: 949-559-8129 | |
Mrs. Amber Hardy Rickner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203 | |
Kelly Eguchi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118 | |
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870 | |
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201 |