Reesha Javaid, FNP | |
25115 Avenue Stanford # A104, Valencia, CA 91355-1290 | |
(661) 468-7405 | |
Not Available |
Full Name | Reesha Javaid |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25115 Avenue Stanford # A104, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134979743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F01240875 (California) | Primary |
Entity Name | Tarzana Treatment Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346842093 PECOS PAC ID: 5991897845 Enrollment ID: O20070822001488 |
Mailing Address | Practice Location Address |
---|---|
Reesha Javaid, FNP 21725 Shallot Ct, Saugus, CA 91350-1638 Ph: (661) 309-2027 | Reesha Javaid, FNP 25115 Avenue Stanford # A104, Valencia, CA 91355-1290 Ph: (661) 468-7405 |
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