Mark Ross Silverio Mendoza, NP | |
934 Larch St Apt 1b, Inglewood, CA 90301-3930 | |
(714) 882-0696 | |
Not Available |
Full Name | Mark Ross Silverio Mendoza |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 934 Larch St Apt 1b, Inglewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023893294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95024791 (California) | Primary |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Entity Name | Global Wound Care Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Mailing Address | Practice Location Address |
---|---|
Mark Ross Silverio Mendoza, NP 934 Larch St Apt 1b, Inglewood, CA 90301-3930 Ph: (714) 882-0696 | Mark Ross Silverio Mendoza, NP 934 Larch St Apt 1b, Inglewood, CA 90301-3930 Ph: (714) 882-0696 |
Melody Ann Moore, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 E Hardy St Ste 160, Inglewood, CA 90301 Phone: 310-295-0075 | |
Ms. Claudine Harris, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Larch St Apt 1, Inglewood, CA 90301 Phone: 424-219-2809 | |
Ms. Mai Chou Vang, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 310-673-4660 | |
Arsalan Sharifian Pour, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 E Hardy St, Inglewood, CA 90301 Phone: 818-577-0269 | |
Melinda Rusiana Catubig-espiritu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3451 W Century Blvd, Inglewood, CA 90303 Phone: 310-677-9400 | |
Suzanne Bejec, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 575 E Hardy St Ste 315, Inglewood, CA 90301 Phone: 213-328-2889 |