Tina L Holt, CRNA | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 325-5111 | |
Not Available |
Full Name | Tina L Holt |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 25825 Vermont Ave, Harbor City, 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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1033310917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | NA3342 (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 |
Entity Name | Endoscopy Center Of The South Bay Lp |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1053391169 PECOS PAC ID: 8628022498 Enrollment ID: O20050304000646 |
Mailing Address | Practice Location Address |
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Tina L Holt, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 | Tina L Holt, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 |
Loreto Albaran, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Mr. Scott Mathews, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2585 | |
Melissa Roupoli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 800-780-1230 | |
Michelle A Navarrette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Angela Burney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Mr. Jon David Beserra Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |