Ms Emmanuelle Marie Mariano Ganzon, is a
Physician Assistant - Medical based in East Los Angeles, California. Ms Emmanuelle Marie Mariano Ganzon is licensed to practice in * (Not Available) (license number ) and her current practice location is
607 S Atlantic Blvd, East Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 327-7828.
NPI number for Ms Emmanuelle Marie Mariano Ganzon is 1063134518 and her current mailing address is 11288 Phillippi Ave, Pacoima, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063134518.
Provider's Profile
| Full Name | Ms Emmanuelle Marie Mariano Ganzon |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 607 S Atlantic Blvd, East Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063134518
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 09/12/2022
Medical Identifiers
Medical identifiers for Ms Emmanuelle Marie Mariano Ganzon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063134518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Emmanuelle Marie Mariano Ganzon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Emmanuelle Marie Mariano Ganzon,
11288 Phillippi Ave,
Pacoima, CA 91331-1519
Ph: (213) 327-7828 | Ms Emmanuelle Marie Mariano Ganzon,
607 S Atlantic Blvd,
East Los Angeles, CA 90022-3211
Ph: (213) 327-7828 |
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