Mr Rex Itchon, | |
9333 Imperial Hwy, Downey, CA 90242-2812 | |
(833) 574-2273 | |
Not Available |
Full Name | Mr Rex Itchon |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9333 Imperial Hwy, Downey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407566912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 95049450 (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 | Advanced Anesthesia Specialists A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871733600 PECOS PAC ID: 0042340705 Enrollment ID: O20100608000088 |
Mailing Address | Practice Location Address |
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Mr Rex Itchon, 2514 E 6th St Apt B, Long Beach, CA 90814-7364 Ph: () - | Mr Rex Itchon, 9333 Imperial Hwy, Downey, CA 90242-2812 Ph: (833) 574-2273 |
Chelsea Putman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273 | |
Monica Lang, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273 | |
Frances Aponte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-803-0124 Fax: 562-803-5569 | |
Amee T. Ramirez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9449 Imperial Hwy, Downey, CA 90242 Phone: 562-657-9900 | |
Karen L. Glance-smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8635 Firestone Blvd, Ste # 100, Downey, CA 90241 Phone: 562-862-5121 Fax: 562-862-3027 | |
Ronald Rea Tolentino Atienza, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-9000 | |
Chelsea Palacios, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 916-718-3640 |