| Angelica Menchaca, FNP-C | |
|
4418 Vineland Ave, Toluca Lake, CA 91602-3457 | |
| (818) 842-7145 | |
| Not Available |
| Full Name | Angelica Menchaca |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4418 Vineland Ave, Toluca Lake, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831654573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95010712 (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 | Premiere Medical Center Of Burbank, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831329218 PECOS PAC ID: 4688709744 Enrollment ID: O20100316000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelica Menchaca, FNP-C 17600 Rinaldi St, Granada Hills, CA 91344-3321 Ph: (818) 455-6188 | Angelica Menchaca, FNP-C 4418 Vineland Ave, Toluca Lake, CA 91602-3457 Ph: (818) 842-7145 |
Kenyatt Renee Davis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10757 Hortense St Apt 208, Toluca Lake, CA 91602 Phone: 404-457-3031 | |
Amanda Renee Layman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10757 Hortense St Apt 105, Toluca Lake, CA 91602 Phone: 818-802-9649 | |
Shima Pezeshki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11218 Camarillo St Apt 307, Toluca Lake, CA 91602 Phone: 310-500-9068 | |
Jacqueline Ksajikian, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10220 Riverside Dr Ste A, Toluca Lake, CA 91602 Phone: 818-308-7394 | |
Mrs. Samantha M Matros, M.S.N., F.N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4418 Vineland Ave # 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-953-2839 | |
Mrs. Victoria J. Chan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 Phone: 818-842-7145 Fax: 818-842-8202 |