Olga B Tyler, FNP | |
4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 | |
(310) 219-2000 | |
Not Available |
Full Name | Olga B Tyler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 4455 W 117th St Ste 200, Hawthorne, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225748791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 950223851 (California) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 95023851 (California) | Primary |
Entity Name | Northeast Community Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700097540 PECOS PAC ID: 5193710275 Enrollment ID: O20040417000619 |
Entity Name | Community Care Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265093520 PECOS PAC ID: 9133557010 Enrollment ID: O20200309001413 |
Mailing Address | Practice Location Address |
---|---|
Olga B Tyler, FNP 15713 Atkinson Ave, Gardena, CA 90249-4521 Ph: (310) 995-2485 | Olga B Tyler, FNP 4455 W 117th St Ste 200, Hawthorne, CA 90250-2240 Ph: (310) 219-2000 |
Trang Thi Kim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3643 W 133rd St, Hawthorne, CA 90250 Phone: 310-297-0194 | |
Mrs. Nadia Heidi Blanco, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11946 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-675-1136 | |
Renee Mckenzie, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-715-8686 | |
Ogbonna Iwuamadi Olelewe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 Fax: 310-679-4017 | |
Amanda L Stowell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4866 W 137th St, Hawthorne, CA 90250 Phone: 818-462-1195 | |
Ms. Nona Pacatang Santos, N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Joseph Ngwa Tanifor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11712 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-9293 |