| Carole S Vincelli, NP | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2000 | |
| Not Available |
| Full Name | Carole S Vincelli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538217468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1485 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Carole S Vincelli, NP 393 E Walnut St, 3rd Floor Phr Systems, Pasadena, CA 91188-0001 Ph: (000) 000-0000 | Carole S Vincelli, NP 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555 | |
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Kristine Satenik Shahinyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8012 Allott Ave, Panorama City, CA 91402 Phone: 323-422-8696 |