Nima Deldan Lal, RN750312 | |
14659 Olive View Dr, Sylmar, CA 91342-1652 | |
(818) 485-0867 | |
Not Available |
Full Name | Nima Deldan Lal |
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Gender | Male |
Speciality | Registered Nurse |
Location | 14659 Olive View Dr, Sylmar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144812181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN750312 (California) | Primary |
Entity Name | Ehab Yacoub Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
Mailing Address | Practice Location Address |
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Nima Deldan Lal, RN750312 14659 Olive View Dr, Sylmar, CA 91342-1652 Ph: (818) 485-0867 | Nima Deldan Lal, RN750312 14659 Olive View Dr, Sylmar, CA 91342-1652 Ph: (818) 485-0867 |
Aleli Francesca Paez, Registered Nurse Medicare: Medicare Enrolled Practice Location: 14659 Olive View Dr, Sylmar, CA 91342 Phone: 818-485-0888 | |
Martha E Enamorado, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3676 | |
Mahnaz Hassanvan, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr Rm 2b182, Sylmar, CA 91342 Phone: 818-364-3205 | |
Stacy Howard Prindle, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14659 Olive View Dr, Sylmar, CA 91342 Phone: 818-485-0868 | |
Cristina Robles, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-4680 Fax: 747-210-4682 | |
Nerissa Redada, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3538 | |
Miss Jay Redada, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3125 |