| Constanza Munoz Kotanko, FNP-BC | |
|
16630 S Broadway, Gardena, CA 90248-2716 | |
| (310) 768-8155 | |
| Not Available |
| Full Name | Constanza Munoz Kotanko |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 16630 S Broadway, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205660362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95031035 (California) | Primary |
| Entity Name | American Current Care Of California A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
| Entity Name | Serenity Care Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245623156 PECOS PAC ID: 1658637202 Enrollment ID: O20171114002945 |
| Mailing Address | Practice Location Address |
|---|---|
| Constanza Munoz Kotanko, FNP-BC 16630 S Broadway, Gardena, CA 90248-2716 Ph: (310) 768-8155 | Constanza Munoz Kotanko, FNP-BC 16630 S Broadway, Gardena, CA 90248-2716 Ph: (310) 768-8155 |
Gholam Reza Hosseinian, M.D., Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1030 W Gardena Blvd, Gardena, CA 90247 Phone: 310-323-9999 Fax: 310-323-0216 | |
Mr. Alfonso M Baez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14127 South Vermont Avenue, Gardena, CA 90247 Phone: 310-532-1650 Fax: 310-532-2036 | |
Dr. Grace Jiyoung Park, D.O. , MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15446 S Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 Phone: 310-965-4821 | |
Dr. Freyman Manuel Recinos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15446 S Western Ave, Gardena, CA 90249 Phone: 800-780-1230 | |
Dr. Emelou Sagaral, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1045 W Redondo Beach Blvd Ste 300, La Vida Family Medicine, Gardena, CA 90247 Phone: 310-352-4170 | |
Angelina Nguyen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15420 Crenshaw Blvd, Gardena, CA 90249 Phone: 310-324-5599 |