Mark Chan, NP | |
19231 Soledad Canyon Rd, Santa Clarita, CA 91351-3367 | |
(661) 260-3155 | |
Not Available |
Full Name | Mark Chan |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 19231 Soledad Canyon Rd, Santa Clarita, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336782010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95012116 (California) | Primary |
Entity Name | Somagen Healthcare Ii Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461 |
Entity Name | Somagen Healthcare Iii Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327 |
Mailing Address | Practice Location Address |
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Mark Chan, NP Po Box 721552, San Diego, CA 92172-1552 Ph: (858) 752-4177 | Mark Chan, NP 19231 Soledad Canyon Rd, Santa Clarita, CA 91351-3367 Ph: (661) 260-3155 |
Mrs. Natalie Pierre Oduwo-oketch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28309 Alfreds Way, Santa Clarita, CA 91350 Phone: 310-592-4567 | |
Anthony Binala Pascual, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18134 Jupiter Ln, Santa Clarita, CA 91350 Phone: 818-730-3950 | |
Mrs. Valerie Jean Malinoski, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24355 Lyons Ave, Santa Clarita, CA 91321 Phone: 661-255-9355 | |
Mutiatu Morayo Jarrett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22316 Hideout Ct, Santa Clarita, CA 91390 Phone: 818-209-3506 | |
Yasmin Bahrami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19231 Soledad Canyon Rd, Santa Clarita, CA 91351 Phone: 661-260-3155 | |
Mrs. Valerie Nicole Barkon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22905 Banyan Pl Unit 227, Santa Clarita, CA 91390 Phone: 805-660-0666 | |
Beverly Jeanne Kemmerling, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26455 Rockwell Canyon Rd, Coc Student Health & Wellness Center, Santa Clarita, CA 91355 Phone: 661-362-3259 Fax: 661-362-5051 |