| Amanda Lane, NP-C | |
|
4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423-5523 | |
| (818) 646-2562 | |
| Not Available |
| Full Name | Amanda Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4312 Woodman Ave Ste 102, Sherman Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336784586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95012271 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Mend Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467849745 PECOS PAC ID: 6406160803 Enrollment ID: O20150729008949 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lane, NP-C 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423-5523 Ph: () - | Amanda Lane, NP-C 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423-5523 Ph: (818) 646-2562 |
Sonya Hallabyan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4419 Van Nuys Blvd Ste 403, Sherman Oaks, CA 91403 Phone: 705-710-0747 | |
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453 | |
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208 | |
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322 | |
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488 | |
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400 | |
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026 |