Michael John Pancho Bunag, NP | |
100 N Barranca St Ste 900, West Covina, CA 91791-1637 | |
(626) 206-0523 | |
(626) 206-0553 |
Full Name | Michael John Pancho Bunag |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 100 N Barranca St Ste 900, West Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104414101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95016175 (California) | Primary |
207R00000X | Internal Medicine | 95016175 (California) | Secondary |
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 | Home Care Md Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023644556 PECOS PAC ID: 8921437088 Enrollment ID: O20200411000284 |
Entity Name | Advanced Practitioner Medical Group - A Professional Nursing Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861069957 PECOS PAC ID: 4082019401 Enrollment ID: O20220503000614 |
Mailing Address | Practice Location Address |
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Michael John Pancho Bunag, NP 17101 San Jose St, Granada Hills, CA 91344-6240 Ph: (818) 333-6378 | Michael John Pancho Bunag, NP 100 N Barranca St Ste 900, West Covina, CA 91791-1637 Ph: (626) 206-0523 |
Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547 | |
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154 | |
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393 | |
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246 | |
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117 | |
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553 | |
Jacqueline Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 S. Glendora Ave, West Covina, CA 91790 Phone: 616-250-5247 |