Ms Prescillia Miandabo Tshiamala, FNP-BC | |
3834 S Western Ave, Los Angeles, CA 90062-1104 | |
(323) 730-1920 | |
Not Available |
Full Name | Ms Prescillia Miandabo Tshiamala |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 3834 S Western Ave, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043455140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 18627 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lac+usc Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthcare Partners Affiliates Medical Group | 7315842002 | 645 |
Entity Name | Healthcare Partners Affiliates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Mailing Address | Practice Location Address |
---|---|
Ms Prescillia Miandabo Tshiamala, FNP-BC 609 N Mar Vista Ave, Apartment 5, Pasadena, CA 91106-4908 Ph: (734) 904-1935 | Ms Prescillia Miandabo Tshiamala, FNP-BC 3834 S Western Ave, Los Angeles, CA 90062-1104 Ph: (323) 730-1920 |
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Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685 | |
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601 | |
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