Panthea Pedoeim, NP | |
5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 | |
(818) 789-7181 | |
Not Available |
Full Name | Panthea Pedoeim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 5353 Balboa Blvd Ste 104, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376895847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 21298 (California) | Primary |
208000000X | Pediatrics | 21298 (California) | Secondary |
Entity Name | Scottsdale Physicians Group Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689799579 PECOS PAC ID: 8325099385 Enrollment ID: O20050207000876 |
Entity Name | United Telehealth Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760036966 PECOS PAC ID: 5496170185 Enrollment ID: O20200728003220 |
Mailing Address | Practice Location Address |
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Panthea Pedoeim, NP 5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 Ph: (818) 789-7181 | Panthea Pedoeim, NP 5353 Balboa Blvd Ste 104, Encino, CA 91316-2858 Ph: (818) 789-7181 |
Heidi Collier, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16133 Ventura Blvd, #360, Encino, CA 91436 Phone: 818-986-6009 Fax: 818-396-5594 | |
Carrie Elizabeth Wilson Friedman, RN,MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Suite 712, Encino, CA 91436 Phone: 818-386-1395 Fax: 888-882-6061 | |
Maya King, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16133 Ventura Blvd Ste 360, Encino, CA 91436 Phone: 818-986-6009 Fax: 818-239-4239 | |
John Tonegato, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16260 Ventura Blvd Ste 140, Encino, CA 91436 Phone: 818-528-2500 | |
Kelly Michele Manda, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5363 Balboa Blvd Ste 245, Encino, CA 91316 Phone: 818-343-4430 Fax: 818-343-4423 | |
Rome Diostonne Evangelista, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16530 Ventura Blvd Ste 400, Encino, CA 91436 Phone: 818-625-4814 | |
Kristi Lynn Kuiken, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15503 Ventura Blvd Ste 240, Encino, CA 91436 Phone: 818-461-8148 Fax: 818-461-8105 |