Ryan Michael De La Merced, | |
1786 Plaza Del Amo Apt 1, Torrance, CA 90501-4507 | |
(310) 408-6890 | |
Not Available |
Full Name | Ryan Michael De La Merced |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1786 Plaza Del Amo Apt 1, Torrance, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851072227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 844686 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95002171 (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 Michael De La Merced, 1786 Plaza Del Amo Apt 1, Torrance, CA 90501-4507 Ph: (310) 408-6890 | Ryan Michael De La Merced, 1786 Plaza Del Amo Apt 1, Torrance, CA 90501-4507 Ph: (310) 408-6890 |
Ms. Lori Anne D'amore, M.S. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W Carson St # 10, Torrance, CA 90502 Phone: 310-222-3472 Fax: 310-782-1467 | |
Mr. Ian Hyeon Kim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-2345 | |
Sharif Elakabawi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3472 | |
Carissa Villarreal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4140 W 190th St, Torrance, CA 90504 Phone: 310-967-1889 | |
Lisa Taft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Dept Of Anesthesiology, Torrance, CA 90502 Phone: 310-222-3472 |