Ivan Martinez, | |
14550 Haynes St, Van Nuys, CA 91411-1613 | |
(818) 650-6700 | |
Not Available |
Full Name | Ivan Martinez |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 14550 Haynes St, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467212357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95028518 (California) | Primary |
Entity Name | Southern California Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225357114 PECOS PAC ID: 2769666817 Enrollment ID: O20110607000460 |
Mailing Address | Practice Location Address |
---|---|
Ivan Martinez, 14550 Haynes St, Van Nuys, CA 91411-1613 Ph: (818) 650-6700 | Ivan Martinez, 14550 Haynes St, Van Nuys, CA 91411-1613 Ph: (818) 650-6700 |
Luiza Kristina Gevshanyan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7033 Matilija Ave, Van Nuys, CA 91405 Phone: 323-327-2302 | |
Shannon Tran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-782-6600 | |
Yesenia Cano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15243 Vanowen St Ste 107, Van Nuys, CA 91405 Phone: 818-787-8473 | |
Ms. Deniece Faith Sarmiento, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7100 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-786-8601 | |
Galina Rovensky, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7646 Densmore Ave, Van Nuys, CA 91406 Phone: 818-994-0804 | |
Nelli Berberyan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14411 Hamlin St, Van Nuys, CA 91401 Phone: 818-994-0616 | |
Eva Jane Shaw, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6618 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-908-9962 Fax: 818-908-9914 |