| Susiati Gunawan, LVN | |
|
2401 Venier Way, Costa Mesa, CA 92627-1441 | |
| (714) 260-8386 | |
| Not Available |
| Full Name | Susiati Gunawan |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 2401 Venier Way, Costa Mesa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598133357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | VN257822 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susiati Gunawan, LVN 2401 Venier Way, Costa Mesa, CA 92627-1441 Ph: (714) 260-8386 | Susiati Gunawan, LVN 2401 Venier Way, Costa Mesa, CA 92627-1441 Ph: (714) 260-8386 |
Melissa Marie Siegl, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 Kalmus Dr, K3, Costa Mesa, CA 92626 Phone: 714-384-3870 | |
Whitney Taylor West, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St Ste 1h, Costa Mesa, CA 92627 Phone: 949-629-2862 | |
Jeong Oh, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 275 Baker St E, Costa Mesa, CA 92626 Phone: 714-362-6760 Fax: 714-361-6768 | |
Esperanza Tong, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 275 Victoria St, Costa Mesa, CA 92627 Phone: 949-629-2860 | |
Mr. Erick Catuira, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626 Phone: 714-384-3870 | |
Adriana Lazarin, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 3100 Bristol St Ste 150, Costa Mesa, CA 92626 Phone: 877-527-7227 | |
Alissa Robles Polehonki, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 985 Victoria St, Costa Mesa, CA 92627 Phone: 949-646-2433 |