| Denis Keshishyan, | |
|
898 N Pacific Coast Hwy, El Segundo, CA 90245-2705 | |
| (310) 379-2134 | |
| Not Available |
| Full Name | Denis Keshishyan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 898 N Pacific Coast Hwy, El Segundo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932791456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 95015136 (California) | Primary |
| Entity Name | San Fernando Valley Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902188022 PECOS PAC ID: 9931360047 Enrollment ID: O20120417000819 |
| Mailing Address | Practice Location Address |
|---|---|
| Denis Keshishyan, 898 N Pacific Coast Hwy, El Segundo, CA 90245-2705 Ph: Not Available | Denis Keshishyan, 898 N Pacific Coast Hwy, El Segundo, CA 90245-2705 Ph: (310) 379-2134 |
Kenn Rafanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 |
Megan Puyau, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085 |
Rachel Spata, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 424-290-8004 |
Nirlaip Kaur Chahal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Continental Blvd, El Segundo, CA 90245 Phone: 310-658-3775 |
Amaka Lauretta Anyaoha, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 |
Ms. Kyung Chow, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 507 S Douglas St Fl 3, El Segundo, CA 90245 Phone: 800-985-5596 |
Ayesha C Chiem, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Continental Blvd Ste 560, El Segundo, CA 90245 Phone: 310-658-3775 |