Mr Mark Vincent Olivarez, MSN FNP | |
1817 N Kenwood St, Burbank, CA 91505-1418 | |
(323) 540-3417 | |
Not Available |
Full Name | Mr Mark Vincent Olivarez |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1817 N Kenwood St, Burbank, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396295325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95005145 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Valley Presbyterian Emergency Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033133103 PECOS PAC ID: 1951308105 Enrollment ID: O20061031000344 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Vincent Olivarez, MSN FNP 1817 N Kenwood St, Burbank, CA 91505-1418 Ph: (323) 540-3417 | Mr Mark Vincent Olivarez, MSN FNP 1817 N Kenwood St, Burbank, CA 91505-1418 Ph: (323) 540-3417 |
Caitlin Provost Conlon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 S Buena Vista St, Burbank, CA 91505 Phone: 818-557-2671 | |
Anasheh Avanes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Olive Ave, Burbank, CA 91506 Phone: 747-477-1411 | |
Jennifer S Lee, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Buena Vista St Ste 325, Burbank, CA 91505 Phone: 818-842-7145 | |
Lynn Adora Lima, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Minute Clinic 9795 Burbank, 511 N Hollywood Way, Burbank, CA 91505 Phone: 818-841-0710 | |
Jessica Cuesta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 W Olive Ave, Burbank, CA 91502 Phone: 818-848-5561 | |
Jesselyn Joy Walter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 W Magnolia Blvd, Burbank, CA 91506 Phone: 323-620-3463 | |
Yui Hatano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 N Hollywood Way, Burbank, CA 91505 Phone: 866-389-2727 |