Lauren Nicole Date-chong, | |
174 Ravenhill Rd, Orinda, CA 94563-2725 | |
(925) 915-9918 | |
Not Available |
Full Name | Lauren Nicole Date-chong |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 174 Ravenhill Rd, Orinda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710518808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 95013441 (California) | Primary |
Entity Name | Ucsf Pediatrics Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376614016 PECOS PAC ID: 6204749112 Enrollment ID: O20031106000823 |
Entity Name | University Of California San Francisco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
Entity Name | Ucsf Dept Of Surgery |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477627537 PECOS PAC ID: 7719886373 Enrollment ID: O20040102000839 |
Entity Name | Ucsf Medical Group Business Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
Mailing Address | Practice Location Address |
---|---|
Lauren Nicole Date-chong, 174 Ravenhill Rd, Orinda, CA 94563-2725 Ph: (925) 915-9918 | Lauren Nicole Date-chong, 174 Ravenhill Rd, Orinda, CA 94563-2725 Ph: (925) 915-9918 |
Ms. Sara Lynn Harkness, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Glorietta Blvd, Orinda, CA 94563 Phone: 925-253-0118 | |
Christine S Tsang, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Camino Encinas, Orinda, CA 94563 Phone: 510-204-8171 | |
Rebecca Frances Eliaser Liskin, RN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Camino Encinas, Orinda, CA 94563 Phone: 510-204-8321 | |
Jonelle Donica Pelobello, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Altarinda Rd Ste 200, Orinda, CA 94563 Phone: 925-254-9500 | |
Janice Coscolluela, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Meadow View Rd, Orinda, CA 94563 Phone: 702-683-4016 | |
Irina V Butorina, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Brookwood Rd Ste 201, Orinda, CA 94563 Phone: 925-254-9090 |