David Boyd Light, NP | |
12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | |
(714) 620-8131 | |
Not Available |
Full Name | David Boyd Light |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 12800 Garden Grove Blvd Ste F, Garden Grove, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245669134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 23594 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 23594 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
College Medical Center | Long beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tolwin Psychiatric Medical Group Inc | 9830127414 | 11 |
Entity Name | Tolwin Psychiatric Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740227545 PECOS PAC ID: 9830127414 Enrollment ID: O20050803001265 |
Entity Name | College Community Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043354624 PECOS PAC ID: 4183767999 Enrollment ID: O20100415000405 |
Mailing Address | Practice Location Address |
---|---|
David Boyd Light, NP 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 Ph: (714) 620-8131 | David Boyd Light, NP 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 Ph: (714) 620-8131 |
Barbara C Kenerson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6151 Cerulean Ave, Garden Grove, CA 92845 Phone: 714-943-3126 | |
Ms. Jung Eun Yim, N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9828 Garden Grove Blvd Ste 201, Garden Grove, CA 92844 Phone: 714-530-9633 Fax: 714-530-4410 | |
Ms. Jennifer Amos, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840 Phone: 714-296-1934 | |
Anh Nguyen Galleta, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9191 Westminster Ave Ste 106, Garden Grove, CA 92844 Phone: 714-583-6340 | |
Mrs. Adita Graciela Mckenzie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12751 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-620-8883 | |
Tu Thuy Tonnu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14221 Euclid St Ste H, Garden Grove, CA 92843 Phone: 714-539-9999 Fax: 714-539-9015 | |
Susan Jean Reynolds, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9802 Woodbury Ave, Garden Grove, CA 92844 Phone: 714-663-6411 Fax: 714-663-6470 |