Mia Spinelli Loftus, | |
701 E 28th St Ste 419, Long Beach, CA 90806-2775 | |
(562) 490-9900 | |
Not Available |
Full Name | Mia Spinelli Loftus |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 701 E 28th St Ste 419, 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 |
---|---|---|---|
1003374075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | NP95010537 (California) | Primary |
Entity Name | Tpirc Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225611312 PECOS PAC ID: 4486036068 Enrollment ID: O20220728002225 |
Mailing Address | Practice Location Address |
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Mia Spinelli Loftus, 701 E 28th St Ste 419, Long Beach, CA 90806-2775 Ph: (562) 490-9900 | Mia Spinelli Loftus, 701 E 28th St Ste 419, Long Beach, CA 90806-2775 Ph: (562) 490-9900 |
Mrs. Elisha Marie Martin, MSN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 310-350-8902 | |
Ms. Eunice N Bisong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 | |
Michael Thomas Fabian, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 Fax: 916-703-6547 | |
Christine Marie Moak, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3060 Mcnab Ave, Long Beach, CA 90808 Phone: 562-277-4741 | |
Mrs. Christine Uy Titensky, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 301, Long Beach, CA 90806 Phone: 562-269-0300 | |
Mr. Alvaro Gonzales Botello, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Atlantic Ave Suite 715, Long Beach, CA 90813 Phone: 562-983-5496 Fax: 562-432-1864 |