| Angelica Avila, | |
|
845 7th St, Wasco, CA 93280-1919 | |
| (661) 459-1000 | |
| Not Available |
| Full Name | Angelica Avila |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 845 7th St, Wasco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447927538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9502556 (California) | Primary |
| Entity Name | Vanguard Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609281310 PECOS PAC ID: 4587881685 Enrollment ID: O20140813002697 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelica Avila, 845 7th St, Wasco, CA 93280-1919 Ph: (661) 459-1000 | Angelica Avila, 845 7th St, Wasco, CA 93280-1919 Ph: (661) 459-1000 |
Robert Shannon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 7th St, Wasco, CA 93280 Phone: 661-758-2263 | |
Ms. Maritza Orozco-robles, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 7th St, Wasco Medical Plaza, Wasco, CA 93280 Phone: 661-758-4184 Fax: 661-758-4187 | |
Florentino Avila Robles, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Scofield Ave, Wasco, CA 93280 Phone: 661-758-8400 Fax: 661-758-4187 | |
Juan Talamantez Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 7th St, Wasco, CA 93280 Phone: 661-758-4184 | |
Ms. Baudelia Garcia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1149 7th St, Wasco, CA 93280 Phone: 661-758-2449 Fax: 661-758-8317 | |
Ms. Elizabeth Alomari, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 7th St, Wasco, CA 93280 Phone: 661-758-7865 Fax: 661-758-3318 |