Marisa Velasquez, | |
18031 Victory Blvd, Reseda, CA 91335-6421 | |
(559) 920-2922 | |
Not Available |
Full Name | Marisa Velasquez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 18031 Victory Blvd, Reseda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942897376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 95016627 (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 |
---|---|
Marisa Velasquez, 18031 Victory Blvd, Reseda, CA 91335-6421 Ph: (559) 920-2922 | Marisa Velasquez, 18031 Victory Blvd, Reseda, CA 91335-6421 Ph: (559) 920-2922 |
Jiyeon Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 | |
Sukhwinder Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7100 Yarmouth Ave, Reseda, CA 91335 Phone: 818-488-0009 | |
Mr. Elizabeth Salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6906 Topeka Dr, Reseda, CA 91335 Phone: 818-454-5973 | |
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401 | |
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742 | |
Maria Therese Dela Merced, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7012 Reseda Blvd Ste 100, Reseda, CA 91335 Phone: 747-265-6423 | |
Dr. Poy Sakjirapapong Yamada, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 |