Marlonino Vitug Balajadia, | |
2249 Cota Ave, Long Beach, CA 90810-3402 | |
(562) 253-7202 | |
Not Available |
Full Name | Marlonino Vitug Balajadia |
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Gender | Male |
Speciality | Registered Nurse |
Location | 2249 Cota Ave, Long 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 |
---|---|---|---|
1780365809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 95045582 (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 |
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Marlonino Vitug Balajadia, 9333 Imperial Hwy, Downey, CA 90242-2812 Ph: () - | Marlonino Vitug Balajadia, 2249 Cota Ave, Long Beach, CA 90810-3402 Ph: (562) 253-7202 |
Ronald D Fillmore, CRNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2776 Pacific Ave, Pacific Hospital Of Long Beach, Long Beach, CA 90806 Phone: 760-534-9550 Fax: 951-808-9700 | |
Dr. Anthony William Mcguire, RN, PHD, ACNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3640 E 17th St, Long Beach, CA 90804 Phone: 562-209-2861 | |
Betsy Lilliana Samayoa, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4901 E Carson St, R19, Long Beach, CA 90808 Phone: 562-938-4265 Fax: 562-938-4994 | |
Loremea Bautista, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 | |
Mayra P Montoya Manriquez, LVN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1333 Chestnut Ave, Long Beach, CA 90813 Phone: 323-753-2300 | |
Brandy Gonzales, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6060 N Paramount Blvd, Long Beach, CA 90805 Phone: 562-634-9534 | |
Lorinda Theav, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1975 Long Beach Blvd Fl 2, Long Beach, CA 90806 Phone: 562-218-3954 Fax: 562-218-0402 |