Rosmir Roseta Villaluz, FNP | |
972 Goodrich Blvd, Commerce, CA 90022-4114 | |
(888) 499-9303 | |
Not Available |
Full Name | Rosmir Roseta Villaluz |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 972 Goodrich Blvd, Commerce, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003549437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363L00000X | Nurse Practitioner | 95283503 (California) | Secondary |
363L00000X | Nurse Practitioner | 95021639 (California) | Primary |
Entity Name | Team Physicians Of Southern California Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225499015 PECOS PAC ID: 0446545354 Enrollment ID: O20160816003061 |
Mailing Address | Practice Location Address |
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Rosmir Roseta Villaluz, FNP 972 Goodrich Blvd, Commerce, CA 90022-4114 Ph: () - | Rosmir Roseta Villaluz, FNP 972 Goodrich Blvd, Commerce, CA 90022-4114 Ph: (888) 499-9303 |
Mrs. Beata Alina Pearce, MSN, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 | |
Mr. Edward Burgos Nino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 | |
Monica Moody, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 972 Goodrich Blvd, Commerce, CA 90022 Phone: 888-499-9303 | |
Neema Yuda Shayo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 | |
Dena Marie Davis, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 233-725-1337 | |
Liezl Gatchalian Bhakta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 |