Lisa Anne Marie Mongeon, NP | |
8700 Beverly Blvd, West Hollywood, CA 90048-1804 | |
(310) 423-3277 | |
Not Available |
Full Name | Lisa Anne Marie Mongeon |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 8700 Beverly Blvd, West Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992149314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 23003 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Lisa Anne Marie Mongeon, NP 2806 Nichols Canyon Rd, Los Angeles, CA 90046-1309 Ph: (919) 265-9891 | Lisa Anne Marie Mongeon, NP 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (310) 423-3277 |
Dr. Bernice Louise Coleman, PH.D, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, North Tower Room 6215, West Hollywood, CA 90048 Phone: 310-423-6178 | |
Chiara Casas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277 | |
Ms. Sharon A Galvis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, Tower 4311, West Hollywood, CA 90048 Phone: 310-423-4457 Fax: 310-423-2114 | |
Dr. Andrea Banty, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4100 | |
Ivy Mckenzie Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069 Phone: 909-962-1260 Fax: 323-307-7140 | |
Pamela Grace Silvestre Mondejar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277 | |
Mrs. Alexandra Elise Saborio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Becker Building 220, West Hollywood, CA 90048 Phone: 310-423-5252 |