Maria Etchepare, NP | |
2900 N Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266-2788 | |
(310) 546-3481 | |
Not Available |
Full Name | Maria Etchepare |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2900 N Sepulveda Blvd Ste 200, Manhattan Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457648446 | NPI | - | NPPES |
1164487518 | Medicaid | CA | |
RN374732 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP19407 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | NP19407 (California) | Primary |
Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
Mailing Address | Practice Location Address |
---|---|
Maria Etchepare, NP 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266-2788 Ph: (310) 546-3481 | Maria Etchepare, NP 2900 N Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266-2788 Ph: (310) 546-3481 |
La Toya Marie Butts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-546-3481 | |
Mr. Paul Joonhyuk Choi, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA 90266 Phone: 877-859-2341 | |
Alea Nicole Sohn, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 26th St, Manhattan Beach, CA 90266 Phone: 941-301-6311 | |
Diana L Rand, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 N Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 Phone: 310-510-6262 | |
Dr. Geoffrey Patrick Okoth Odhiambo, DNP, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N Sepulveda Blvd Ste 270, Manhattan Beach, CA 90266 Phone: 925-282-1778 Fax: 415-296-5299 | |
John Lazar, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2900 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-546-3481 | |
Alexander Panis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 N Sepulveda Blvd Ste 210, Manhattan Beach, CA 90266 Phone: 424-241-1557 |