Mrs Adela Mercedes Valenzuela, CERTIFIED WON | |
12021 Jacaranda Ave, Hesperia, CA 92345-4978 | |
(760) 956-5334 | |
Not Available |
Full Name | Mrs Adela Mercedes Valenzuela |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12021 Jacaranda Ave, Hesperia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295745958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0900X | Registered Nurse - Enterostomal Therapy | 430539 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 19668 (California) | Primary |
Entity Name | Vascular Associates Of Southern California, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689835563 PECOS PAC ID: 9335285543 Enrollment ID: O20091001000241 |
Mailing Address | Practice Location Address |
---|---|
Mrs Adela Mercedes Valenzuela, CERTIFIED WON 15010 Fir Street, Hesperia, CA 92345-4316 Ph: (760) 488-1209 | Mrs Adela Mercedes Valenzuela, CERTIFIED WON 12021 Jacaranda Ave, Hesperia, CA 92345-4978 Ph: (760) 956-5334 |
Lauretta Karolczak, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St, Hesperia, CA 92345 Phone: 760-947-8231 | |
Halima Zainab, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15791 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-949-1231 Fax: 877-738-3841 | |
Richard D. Norton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St Ste 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Edgar Benitez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9032 Seal Beach Dr, Hesperia, CA 92344 Phone: 909-615-6156 | |
Albert Lamont Springer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16455 Main Street, Suite 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Irina M Jovel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16455 Main St, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Maria Tuya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St Ste B, Hesperia, CA 92345 Phone: 760-949-4118 Fax: 760-949-0987 |