Ryan Benedicto, FNP | |
27022 Mountain Willow Ln, Canyon Country, CA 91387-3991 | |
(818) 653-0284 | |
Not Available |
Full Name | Ryan Benedicto |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 27022 Mountain Willow Ln, Canyon Country, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629523394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95004811 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Ryan Benedicto, FNP 27022 Mountain Willow Ln, Canyon Country, CA 91387-3991 Ph: (818) 653-0284 | Ryan Benedicto, FNP 27022 Mountain Willow Ln, Canyon Country, CA 91387-3991 Ph: (818) 653-0284 |
Caroline Julie Hanks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27141 Hidaway Ave Ste 106, Canyon Country, CA 91351 Phone: 661-252-8469 | |
Karen Joyce Soriano, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17228 Mount Stephen Ave, Canyon Country, CA 91387 Phone: 661-877-2794 | |
Ms. Dina Agazaryan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18302 Sierra Hwy Ste 101, Canyon Country, CA 91351 Phone: 661-424-9159 | |
Alysia Marie Schwarz, R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5232 Fax: 661-250-5210 | |
Ressie D. Ramos, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5216 Fax: 661-250-5285 | |
Christienne Benedicto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27022 Mountain Willow Ln, Canyon Country, CA 91387 Phone: 818-653-0332 |