Jusac Suryanata, RN | |
15615 Pomerado Rd, Poway, CA 92064-2405 | |
(858) 613-4340 | |
Not Available |
Full Name | Jusac Suryanata |
---|---|
Gender | Male |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 15615 Pomerado Rd, Poway, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124897046 | NPI | - | NPPES |
95166131 | Other | CA | CALIFORNIA BRN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 95166131 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jusac Suryanata, RN 3308 Carolyn Cir, Oceanside, CA 92054-3844 Ph: (760) 658-4405 | Jusac Suryanata, RN 15615 Pomerado Rd, Poway, CA 92064-2405 Ph: (858) 613-4340 |
Rebecca Suzanne Griffiths, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 12217 Pepper Tree Ln, Poway, CA 92064 Phone: 619-260-7066 | |
Luisa Sawyer, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14518 Budwin Ln, Poway, CA 92064 Phone: 858-663-0546 | |
Mark Denniel Macabuag Javier, Registered Nurse Medicare: Medicare Enrolled Practice Location: 14220 Woodcreek Rd, Poway, CA 92064 Phone: 858-335-0379 | |
Jessica Bradley Mackay, RNFA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15615 Pomerado Rd, Poway, CA 92064 Phone: 858-613-4000 | |
Vivian Le, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 13553 Poway Creek Rd, Poway, CA 92064 Phone: 858-610-8469 | |
Mr. David John Walker, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14601 Evening Star Dr, Poway, CA 92064 Phone: 858-513-8051 |