Jiraphat Sumner, FNP-DNP | |
12223 Highland Ave Ste 106-526, Rancho Cucamonga, CA 91739-2574 | |
(714) 676-3880 | |
Not Available |
Full Name | Jiraphat Sumner |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 12223 Highland Ave Ste 106-526, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366229189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95026929 (California) | Primary |
Entity Name | West Coast Health And Rehab Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043743891 PECOS PAC ID: 8325315609 Enrollment ID: O20170517002654 |
Entity Name | Alertive Healthcare Medical Group Apc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467024331 PECOS PAC ID: 9335543974 Enrollment ID: O20210804002898 |
Mailing Address | Practice Location Address |
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Jiraphat Sumner, FNP-DNP 12223 Highland Ave Ste 106-526, Rancho Cucamonga, CA 91739-2574 Ph: (714) 676-3880 | Jiraphat Sumner, FNP-DNP 12223 Highland Ave Ste 106-526, Rancho Cucamonga, CA 91739-2574 Ph: (714) 676-3880 |
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