Ms Mary Helen Smith, FNP | |
4700 Inglewood Blvd, Suite #102, Culver City, CA 90230-5896 | |
(310) 392-8630 | |
(310) 664-7426 |
Full Name | Ms Mary Helen Smith |
---|---|
Gender | Female |
Speciality | Registered Nurse - Community Health |
Location | 4700 Inglewood Blvd, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649373200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC1500X | Registered Nurse - Community Health | 295050 (California) | Primary |
Entity Name | Venice Family Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
Entity Name | Asian Pacific Health Care Venture, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336208255 PECOS PAC ID: 8729997390 Enrollment ID: O20050429000995 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Helen Smith, FNP 4700 Inglewood Blvd, Suite # 102, Culver City, CA 90230-5896 Ph: (310) 392-8636 | Ms Mary Helen Smith, FNP 4700 Inglewood Blvd, Suite #102, Culver City, CA 90230-5896 Ph: (310) 392-8630 |
Joseph A Derije, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd, Suite 700, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-840-7023 | |
Cherryl Diom, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Ste. 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Chinyere Ochulor-duru, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Paul Monju, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Victor Ogbeide, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Ste. 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Joel Kofi Ampofo, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Peter Daniel Radulescu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 |