Mrs Lyan Love G Mccullough, FNP-BC | |
502 Euclid Ave Ste 200, National City, CA 91950-2984 | |
(619) 434-4019 | |
(619) 434-4023 |
Full Name | Mrs Lyan Love G Mccullough |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 502 Euclid Ave Ste 200, National City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063759181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 779235 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95028990 (California) | Primary |
Entity Name | Andres Smith Md A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225664964 PECOS PAC ID: 7416388129 Enrollment ID: O20200513002114 |
Entity Name | Cristina Tobon-chung Fnp A Professional Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891408043 PECOS PAC ID: 0244698645 Enrollment ID: O20230616000621 |
Entity Name | Guardian Biologics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20240516000236 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lyan Love G Mccullough, FNP-BC 1447 Stearns Wharf Rd, Chula Vista, CA 91913-3566 Ph: (619) 259-8933 | Mrs Lyan Love G Mccullough, FNP-BC 502 Euclid Ave Ste 200, National City, CA 91950-2984 Ph: (619) 434-4019 |
Ms. Kia Lee, NP, MSN, BA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 305, National City, CA 91950 Phone: 619-818-7205 | |
De Courcy Luckett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W 8th St, National City, CA 91950 Phone: 619-474-8666 | |
Sue Insigne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Serena Angelina Pitula, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 Euclid Ave Ste 300, National City, CA 91950 Phone: 619-475-1261 | |
Alissa Gray, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2575 E 8th St, National City, CA 91950 Phone: 619-470-6700 | |
Michael B Raguine, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2743 Highland Ave, National City, CA 91950 Phone: 619-474-2284 | |
Anna Celia Gil, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 655 Euclid Ave Ste 405, National City, CA 91950 Phone: 619-479-0822 |