Daisy Prom, | |
5033 Pal Mal Ave, Temple City, CA 91780-3432 | |
(626) 297-4048 | |
Not Available |
Full Name | Daisy Prom |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5033 Pal Mal Ave, Temple 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 |
---|---|---|---|
1295428100 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95025343 (California) | Primary |
Entity Name | Gateways Hospital & Mental Health Center |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1720151137 PECOS PAC ID: 8921136912 Enrollment ID: O20100512000761 |
Mailing Address | Practice Location Address |
---|---|
Daisy Prom, 5033 Pal Mal Ave, Temple City, CA 91780-3432 Ph: (626) 297-4048 | Daisy Prom, 5033 Pal Mal Ave, Temple City, CA 91780-3432 Ph: (626) 297-4048 |
Jenny Hsu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5828 Temple City Blvd, Temple City, CA 91780 Phone: 626-285-1154 | |
Mrs. Stacey Wu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5817 Temple City Blvd, Temple City, CA 91780 Phone: 626-282-1254 Fax: 626-292-1549 | |
Andy Chow, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6271 Rosemead Blvd, Temple City, CA 91780 Phone: 626-898-4560 Fax: 626-898-4561 | |
Mrs. Yi-jung Karen Duh, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9416 Daines Dr, Temple City, CA 91780 Phone: 626-286-0083 | |
Yujing Guo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9334 Broadway, Temple City, CA 91780 Phone: 626-559-3078 | |
Jing Jing Zhang, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5828 Temple City Blvd, Temple City, CA 91780 Phone: 626-285-1154 |