| Alwyn Samson, | |
|
14245 Dearborn St, Panorama City, CA 91402-1917 | |
| (213) 327-9848 | |
| Not Available |
| Full Name | Alwyn Samson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 14245 Dearborn St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962055400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95011712 (California) | Primary |
| Entity Name | Complete Care Community Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Alwyn Samson, 3000 S Robertson Blvd Ste 280, Los Angeles, CA 90034-3144 Ph: (310) 730-6362 | Alwyn Samson, 14245 Dearborn St, Panorama City, CA 91402-1917 Ph: (213) 327-9848 |
Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555 | |
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Kristine Satenik Shahinyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8012 Allott Ave, Panorama City, CA 91402 Phone: 323-422-8696 |