Channe Bunthung, FNP-C | |
390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 | |
(562) 606-9165 | |
Not Available |
Full Name | Channe Bunthung |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 390 N Pacific Coast Hwy, El Segundo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669014866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95012449 (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 |
Mailing Address | Practice Location Address |
---|---|
Channe Bunthung, FNP-C 500 Avenue G Apt 3, Redondo Beach, CA 90277-6006 Ph: (562) 606-9165 | Channe Bunthung, FNP-C 390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 Ph: (562) 606-9165 |
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 |