| Christiana Abraham, NP | |
|
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
| (818) 375-2704 | |
| Not Available |
| Full Name | Christiana Abraham |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 25825 Vermont Ave, Harbor 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 |
|---|---|---|---|
| 1447855911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95063417 (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 | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Christiana Abraham, NP 834 N Juanita Ave Apt A, Redondo Beach, CA 90277-2229 Ph: (818) 524-8534 | Christiana Abraham, NP 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (818) 375-2704 |
Mr. Gino C Lazaro, DIRECTOR OF NURSING Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 23331 Maltby Pl, Harbor City, CA 90710 Phone: 310-486-5106 Fax: 424-263-4750 | |
Martin Lavertu, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Paula Ann Clark, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-920-9459 | |
Hannan I Mohammed, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Nicolette P Im, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-3150 | |
John Vincent Manzon Manzon, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1263 1/2 Anaheim St, Harbor City, CA 90710 Phone: 310-293-8535 |