Miss Chanthol Pen, FNP | |
822 East Avenue K, Lancaster, CA 93535-5938 | |
(661) 579-9760 | |
(661) 579-9765 |
Full Name | Miss Chanthol Pen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 822 East Avenue K, Lancaster, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649509134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9232475 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 20656 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lac/olive View-ucla Medical Center | Sylmar, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Los Angeles | 1850296534 | 270 |
Entity Name | County Of Los Angeles |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
---|---|
Miss Chanthol Pen, FNP 2151 E Palmdale Blvd, Suite, Palmdale, CA 93550-4037 Ph: (661) 942-2391 | Miss Chanthol Pen, FNP 822 East Avenue K, Lancaster, CA 93535-5938 Ph: (661) 579-9760 |
Christina Garst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 415 East Avenue I, Lancaster, CA 93535 Phone: 661-522-6770 | |
Shalonte Allen-carrasquillo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 | |
James M Gocke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45014 10th St W, Suite 109, Lancaster, CA 93534 Phone: 661-942-2391 Fax: 661-723-3769 | |
Jill Diane Jepson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44151 15th St W, Suite 101, Lancaster, CA 93534 Phone: 661-902-5600 | |
Gigi Hammang, MSN, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 547 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-729-8655 | |
Rosanna Edith Salice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 | |
Min H Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43322 Gingham Ave, Lancaster, CA 93535 Phone: 661-874-4050 |