| Angela Park, NP | |
|
13522 Newport Ave, Tustin, CA 92780-3707 | |
| (714) 987-1121 | |
| Not Available |
| Full Name | Angela Park |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 13522 Newport Ave, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386323574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95025837 (California) | Primary |
| Entity Name | Orca Rehab Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952046963 PECOS PAC ID: 6901281484 Enrollment ID: O20220920001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Park, NP Po Box 5532, Irvine, CA 92616-5532 Ph: () - | Angela Park, NP 13522 Newport Ave, Tustin, CA 92780-3707 Ph: (714) 987-1121 |
Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090 | |
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466 | |
Ning Sun, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080 | |
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Julia Samarin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17581 Irvine Blvd Ste 114, Tustin, CA 92780 Phone: 949-503-1414 | |
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800 | |
Eileen Gomez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |