| Ready Responders California Pc | |
|
1308 Factory Pl Apt 103 Los Angeles CA 90013-2255 | |
| (504) 370-9966 | |
| Not Available |
| Full Name | Ready Responders California Pc |
|---|---|
| Speciality | General Practice |
| Location | 1308 Factory Pl Apt 103, Los Angeles, California |
| Authorized Official Name and Position | Stephanie Noriea (SECRETARY) |
| Authorized Official Contact | 5123410900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ready Responders California Pc 5065 Wooster Rd # 005818 Cincinnati OH 45226-2326 Ph: (504) 370-9966 | Ready Responders California Pc 1308 Factory Pl Apt 103 Los Angeles CA 90013-2255 Ph: (504) 370-9966 |
| NPI Number | 1902435753 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 05/26/2021 |
| Medicare PECOS PAC ID | 5799103461 |
|---|---|
| Medicare Enrollment ID | O20210408001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902435753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Douglas G Bushell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619916236 PECOS PAC ID: 1456241785 Enrollment ID: I20050804000676 |
| Provider Name | Neelia R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811150063 PECOS PAC ID: 5395871131 Enrollment ID: I20100415000822 |
| Provider Name | Josephine Nwannekaego Agbowo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457635740 PECOS PAC ID: 8628224847 Enrollment ID: I20120803000293 |
| Provider Name | Hiva S Kolodrubetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477975860 PECOS PAC ID: 1355649294 Enrollment ID: I20160411000878 |
| Provider Name | Vannessa Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619453131 PECOS PAC ID: 7416201421 Enrollment ID: I20181109002306 |
| Provider Name | Michelle D Septer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013290162 PECOS PAC ID: 6305096413 Enrollment ID: I20190301001383 |
| Provider Name | Chelsea N Ozigboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609232875 PECOS PAC ID: 5890122345 Enrollment ID: I20200420001685 |
| Provider Name | Michelle Joyce Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346663820 PECOS PAC ID: 4385861152 Enrollment ID: I20210408002496 |
| Provider Name | Ashley Hunt Falkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356781538 PECOS PAC ID: 8123259892 Enrollment ID: I20210409000653 |
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