| Ms Teela Ann Davis, MA | |
|
18646 Oxnard St, Tarzana, CA 91356-1411 | |
| (818) 996-1051 | |
| Not Available |
| Full Name | Ms Teela Ann Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 18646 Oxnard St, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932333267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512002242 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Teela Ann Davis, MA 2415 E 6th St Apt 8, Long Beach, CA 90814-3566 Ph: (619) 368-2044 | Ms Teela Ann Davis, MA 18646 Oxnard St, Tarzana, CA 91356-1411 Ph: (818) 996-1051 |
Nicole Marian Johnstone, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3950 | |
Gregory Paul Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Sara Andrea Vides, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
David Heiserman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 747-224-0384 Fax: 818-960-4087 | |
Miss Shannon Mehdian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 310-422-8991 | |
Alene Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Adrian L Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 |