Mrs Blanca Esther Ruiz Botello, NP | |
5 Centerpointe Dr, La Palma, CA 90623-1050 | |
(714) 562-3367 | |
Not Available |
Full Name | Mrs Blanca Esther Ruiz Botello |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5 Centerpointe Dr, La Palma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821142555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 585343 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 14969 (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 |
Mailing Address | Practice Location Address |
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Mrs Blanca Esther Ruiz Botello, NP 5 Centerpointe Dr, La Palma, CA 90623-1050 Ph: () - | Mrs Blanca Esther Ruiz Botello, NP 5 Centerpointe Dr, La Palma, CA 90623-1050 Ph: (714) 562-3367 |
Michiko Kayahara, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5451 La Palma Ave Ste 47, La Palma, CA 90623 Phone: 714-562-8560 | |
Lindsay Marilyn Barrientos, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Centerpointe Dr Ste 130, La Palma, CA 90623 Phone: 657-325-8313 Fax: 714-426-8178 | |
Felix Umukoro, MSN, RN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6640 Montaire Pl, La Palma, CA 90623 Phone: 323-395-8596 | |
Enyinnaya Ozogu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7542 Keith Cir, La Palma, CA 90623 Phone: 818-335-8549 | |
Namju Kim Shin, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5471 La Palma Ave Ste 105, La Palma, CA 90623 Phone: 714-695-2388 Fax: 714-695-2391 | |
Christine Kieu Phan, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Centerpointe Dr, La Palma, CA 90623 Phone: 657-325-8313 | |
Jean Chung, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 Centerpointe Dr, La Palma, CA 90623 Phone: 714-522-8020 |