| Buchi Stella Imoohi, FNP | |
|
6367 Puma Pl, Alta Loma, CA 91737-6513 | |
| (909) 231-9242 | |
| Not Available |
| Full Name | Buchi Stella Imoohi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 6367 Puma Pl, Alta Loma, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811137938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP17172 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Scintadel Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588364327 PECOS PAC ID: 4486190857 Enrollment ID: O20240722001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Buchi Stella Imoohi, FNP 6367 Puma Pl, Alta Loma, CA 91737-6513 Ph: (909) 231-9242 | Buchi Stella Imoohi, FNP 6367 Puma Pl, Alta Loma, CA 91737-6513 Ph: (909) 231-9242 |
Tiffany Monique Horn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5537 Malachite Ave, Alta Loma, CA 91737 Phone: 909-560-5116 |
Ms. Andrea Lewis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4928 Clover Pl, Alta Loma, CA 91737 Phone: 909-948-5670 |
Lorna Maureen Nyberg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10332 Charwood Ct, Alta Loma, CA 91737 Phone: 909-466-5974 |