Susanna Smith, | |
3460 E La Palma Ave, Anaheim, CA 92806-2020 | |
(833) 574-2273 | |
Not Available |
Full Name | Susanna Smith |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 3460 E La Palma Ave, Anaheim, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982386249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95075019 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
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 |
---|---|
Susanna Smith, 30 Santa Monica St, Aliso Viejo, CA 92656-1304 Ph: () - | Susanna Smith, 3460 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (833) 574-2273 |
Haley Martin, Registered Nurse Medicare: Medicare Enrolled Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 317-644-9054 | |
Femila Biju Joseph, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 303 N East St, Anaheim, CA 92805 Phone: 714-491-1771 | |
Smriti Shrestha Thebe, Registered Nurse Medicare: Medicare Enrolled Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-6650 | |
Bongsun Shin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2648 W Ball Rd Apt 154, Anaheim, CA 92804 Phone: 213-292-3137 | |
Elizabeth Pham, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1910 S Union St Unit 1077, Anaheim, CA 92805 Phone: 562-334-7168 | |
Yetunde Ligali, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 710 N Euclid St Ste 208, Anaheim, CA 92801 Phone: 817-608-7361 | |
Joyce Chen, Registered Nurse Medicare: Medicare Enrolled Practice Location: 421 N Brookhurst St Ste 218, Anaheim, CA 92801 Phone: 949-431-6363 |