| Lisa Smalling, NP | |
|
2653 Elm Ave Ste 100, Long Beach, CA 90806-1654 | |
| (562) 728-5027 | |
| Not Available |
| Full Name | Lisa Smalling |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 2653 Elm Ave Ste 100, Long Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477868206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 605253 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 19290 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Great Life Medical Pc | 5799105243 | 2 |
| Entity Name | Great Life Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396357513 PECOS PAC ID: 5799105243 Enrollment ID: O20201021003052 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Smalling, NP 2653 Elm Ave Ste 100, Long Beach, CA 90806-1654 Ph: () - | Lisa Smalling, NP 2653 Elm Ave Ste 100, Long Beach, CA 90806-1654 Ph: (562) 728-5027 |
Mrs. Elisha Marie Martin, MSN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 310-350-8902 | |
Ms. Eunice N Bisong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 | |
Michael Thomas Fabian, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 Fax: 916-703-6547 | |
Mia Spinelli Loftus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 419, Long Beach, CA 90806 Phone: 562-490-9900 | |
Christine Marie Moak, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3060 Mcnab Ave, Long Beach, CA 90808 Phone: 562-277-4741 | |
Mrs. Christine Uy Titensky, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 301, Long Beach, CA 90806 Phone: 562-269-0300 | |
Mr. Alvaro Gonzales Botello, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Atlantic Ave Suite 715, Long Beach, CA 90813 Phone: 562-983-5496 Fax: 562-432-1864 |