Mary E Klumph, NP | |
14901 Rinaldi St, Ste 200, Mission Hills, CA 91345-1254 | |
(818) 365-8553 | |
(818) 365-4524 |
Full Name | Mary E Klumph |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 14901 Rinaldi St, Mission Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124020243 | NPI | - | NPPES |
RN268367 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | NP6839 (California) | Primary |
163W00000X | Registered Nurse | RN268367 (California) | Secondary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
---|---|
Mary E Klumph, NP 777 Flower St, Ste A, Glendale, CA 91201-3000 Ph: (818) 637-2000 | Mary E Klumph, NP 14901 Rinaldi St, Ste 200, Mission Hills, CA 91345-1254 Ph: (818) 365-8553 |
Elizabeth Cattell, R.N., ACNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345 Phone: 818-365-1194 | |
Marina Bourke, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Paulina Cos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 661-607-4982 | |
Ms. Deborah Mariko Tsunoda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-898-4465 Fax: 818-898-4316 | |
Maria Behrooj, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 | |
Oscar A Diaz, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11133 N Sepulveda Blvd, Mission Hills, CA 91346 Phone: 818-837-5785 | |
Margaret E. Rivas, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 |