Melissa Chon, | |
11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | |
(818) 869-7253 | |
Not Available |
Full Name | Melissa Chon |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 11333 Sepulveda Blvd, 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 |
---|---|---|---|
1598118366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | R212687 (Maryland) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 95009690 (California) | Primary |
Entity Name | Providence Facey Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
Mailing Address | Practice Location Address |
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Melissa Chon, Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Melissa Chon, 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 869-7253 |
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 |