Mrs Dillys Kermah Owusu, AGPCNP-BC | |
24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 | |
(888) 562-5442 | |
(562) 499-6171 |
Full Name | Mrs Dillys Kermah Owusu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 24853 Alessandro Blvd, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396124533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95004495 (California) | Primary |
Entity Name | Innovative Medical Solutions Inc A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972624955 PECOS PAC ID: 5294783080 Enrollment ID: O20050107000871 |
Entity Name | Molina Healthcare Of California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Entity Name | Senior Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629253505 PECOS PAC ID: 0446339469 Enrollment ID: O20080501000744 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dillys Kermah Owusu, AGPCNP-BC 200 Oceangate Ste 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Mrs Dillys Kermah Owusu, AGPCNP-BC 24853 Alessandro Blvd, Moreno Valley, CA 92553-6102 Ph: (888) 562-5442 |
Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302 | |
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224 | |
Mfon-obong Nseuwa Etukudoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 888-743-7526 | |
Magen Ashley Costilla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555 Phone: 951-988-9500 | |
Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421 | |
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775 | |
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542 |