Stephanie Lynn Fanous, NP | |
2175 Park Pl, El Segundo, CA 90245-4705 | |
(310) 354-4318 | |
Not Available |
Full Name | Stephanie Lynn Fanous |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2175 Park Pl, El Segundo, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306344122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95008438 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthcare Partners Affiliates Medical Group | 7315842002 | 645 |
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Entity Name | Centers For Family Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Lynn Fanous, NP 1286 Bonnie Brae St, Hermosa Beach, CA 90254-4028 Ph: (310) 963-5719 | Stephanie Lynn Fanous, NP 2175 Park Pl, El Segundo, CA 90245-4705 Ph: (310) 354-4318 |
Kenn Rafanan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Megan Puyau, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085 | |
Young Shin, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Rodel Lumanog, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Taylor Cwiertniewicz, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 | |
Victoria Desimone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 N Pacific Coast Hwy Ste 2175, El Segundo, CA 90245 Phone: 877-878-3289 | |
Monica Casado Liyanage, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2175 Park Pl, El Segundo, CA 90245 Phone: 310-345-4200 |