Timothy James Dillon, NP | |
5995 Plaza Dr, Plaza Bldg, Cypress, CA 90630-5028 | |
(415) 902-4118 | |
Not Available |
Full Name | Timothy James Dillon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 5995 Plaza Dr, Cypress, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235230384 | NPI | - | NPPES |
NP371535 | Other | CA | LICENCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9957 (California) | Primary |
Entity Name | Lifelong Medical Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
Mailing Address | Practice Location Address |
---|---|
Timothy James Dillon, NP 125 Cielo Ln, #203, Novato, CA 94949-3311 Ph: (415) 902-4118 | Timothy James Dillon, NP 5995 Plaza Dr, Plaza Bldg, Cypress, CA 90630-5028 Ph: (415) 902-4118 |
Kathleen Alice Kinrade, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9200 Valley View St, Cypress, CA 90630 Phone: 714-484-7361 | |
Vy Kieu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4755 Katella Ave., Suite 102, Cypress, CA 90720 Phone: 657-241-8101 Fax: 657-276-4730 | |
Angie Lea-wilson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4156 Larwin Ave, Cypress, CA 90630 Phone: 714-759-6575 | |
Sarita Parajuli, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4444 Casa Grande Cir # 5o, Cypress, CA 90630 Phone: 714-956-2002 | |
Junwon Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8707 Walker St Unit 3, Cypress, CA 90630 Phone: 213-421-7671 | |
Ms. Stacy L Kramer, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5995 Plaza Dr, Cypress, CA 90630 Phone: 602-908-7273 Fax: 855-251-9774 |