Mr Edward Burgos Nino, NP | |
1436 Goodrich Blvd, Commerce, CA 90022-5111 | |
(323) 725-1337 | |
Not Available |
Full Name | Mr Edward Burgos Nino |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1436 Goodrich Blvd, Commerce, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053486944 | NPI | - | NPPES |
WNP14333A | Other | CA | PPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP #14333 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP14333 (California) | Primary |
Entity Name | Enki Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932230638 PECOS PAC ID: 8022926559 Enrollment ID: O20040117000204 |
Entity Name | Accumen Tms Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992283675 PECOS PAC ID: 3779833918 Enrollment ID: O20180907002847 |
Mailing Address | Practice Location Address |
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Mr Edward Burgos Nino, NP 1436 Goodrich Blvd, Commerce, CA 90022-5111 Ph: (323) 725-1337 | Mr Edward Burgos Nino, NP 1436 Goodrich Blvd, Commerce, CA 90022-5111 Ph: (323) 725-1337 |
Rosmir Roseta Villaluz, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 Goodrich Blvd, Commerce, CA 90022 Phone: 888-499-9303 | |
Mrs. Beata Alina Pearce, MSN, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 | |
Monica Moody, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 972 Goodrich Blvd, Commerce, CA 90022 Phone: 888-499-9303 | |
Neema Yuda Shayo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 | |
Dena Marie Davis, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 233-725-1337 | |
Liezl Gatchalian Bhakta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 |