| Amanda Spino, MSN, FNP | |
|
12660 Riverside Dr Ste 110, Valley Village, CA 91607-3430 | |
| (818) 761-1800 | |
| Not Available |
| Full Name | Amanda Spino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12660 Riverside Dr Ste 110, Valley Village, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750939526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95011723 (California) | Primary |
| Entity Name | Mark H Mazur Md & Barry Statner Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376631341 PECOS PAC ID: 1254373806 Enrollment ID: O20050524001355 |
| Entity Name | Mobile Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487169660 PECOS PAC ID: 8224397963 Enrollment ID: O20180125002042 |
| Entity Name | Shine Mmg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053930248 PECOS PAC ID: 6103257282 Enrollment ID: O20200505000514 |
| Entity Name | Total Health Elevated Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699396754 PECOS PAC ID: 9931518107 Enrollment ID: O20210429002752 |
| Entity Name | California Mobile Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588439061 PECOS PAC ID: 7719330091 Enrollment ID: O20240202001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Spino, MSN, FNP 12660 Riverside Dr Ste 110, Valley Village, CA 91607-3430 Ph: (818) 761-1800 | Amanda Spino, MSN, FNP 12660 Riverside Dr Ste 110, Valley Village, CA 91607-3430 Ph: (818) 761-1800 |
Armenuhi Armineh Hagopian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12626 Riverside Dr Ste 301, Valley Village, CA 91607 Phone: 818-452-9266 Fax: 818-358-2079 | |
Rita Parsamyan Mahood, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12410 Burbank Blvd Ste 103, Valley Village, CA 91607 Phone: 818-821-8391 | |
Halim Sahib Shariff, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12503 W Sapphire Pl, Valley Village, CA 91607 Phone: 248-842-1494 | |
Olena Tumilovich, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5700 Laurel Canyon Blvd Apt 308, Valley Village, CA 91607 Phone: 818-599-6738 | |
Shaza Hanafy Hummel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11945 Magnolia Unit 102, Valley Village, CA 91607 Phone: 818-303-1753 Fax: 818-518-9017 | |
Elena Michelle Moran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5118 Bluebell Ave, Valley Village, CA 91607 Phone: 954-895-7049 | |
Anna Khudaverdyan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12626 Riverside Dr Ste 306, Valley Village, CA 91607 Phone: 818-409-0060 |