Dr Lienio Ferreira De Souza, NP-C | |
700 W 19th St, Costa Mesa, CA 92627 | |
(949) 645-9334 | |
Not Available |
Full Name | Dr Lienio Ferreira De Souza |
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Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 700 W 19th St, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467989269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 95006696 (California) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 95006696 (California) | Primary |
Entity Name | Desouza Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386409704 PECOS PAC ID: 9335585983 Enrollment ID: O20240306001917 |
Mailing Address | Practice Location Address |
---|---|
Dr Lienio Ferreira De Souza, NP-C 21661 Brookhurst St Apt 248, Huntington Beach, CA 92646-8131 Ph: (562) 842-4390 | Dr Lienio Ferreira De Souza, NP-C 700 W 19th St, Costa Mesa, CA 92627 Ph: (949) 645-9334 |
Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436 | |
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361 | |
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227 | |
Yvette Alfelor Elpidio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 Airway Ave, T-3, Costa Mesa, CA 92626 Phone: 714-545-5550 Fax: 714-545-5748 | |
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444 | |
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548 | |
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100 |