| Ms Karla Marguerite Perisho, FNP | |
|
100 Falls Canyon Road, Avalon, CA 90704 | |
| (310) 510-0096 | |
| (310) 510-2381 |
| Full Name | Ms Karla Marguerite Perisho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 100 Falls Canyon Road, Avalon, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790975969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 459718 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catalina Island Medical Center | Avalon, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avalon Medical Development Corporation | 1850283995 | 28 |
| Entity Name | Avalon Medical Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346250347 PECOS PAC ID: 1850283995 Enrollment ID: O20040721000841 |
| Entity Name | Avalon Medical Development Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346250347 PECOS PAC ID: 1850283995 Enrollment ID: O20061104000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Karla Marguerite Perisho, FNP 100 Falls Canyon Road, P.o. Box 1583, Avalon, CA 90704 Ph: (310) 510-0096 | Ms Karla Marguerite Perisho, FNP 100 Falls Canyon Road, Avalon, CA 90704 Ph: (310) 510-0096 |
Emily Hopkins Schuck, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Falls Canyon Rd, Avalon, CA 90704 Phone: 310-510-0096 Fax: 310-510-2938 |
Santa Ann Dominguez, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 100 Falls Canyon Road, Avalon, CA 90704 Phone: 310-510-0096 Fax: 310-510-2381 |