Edil Evangelista, MSN RN PHN FNPC CCRN | |
425 Diamond Dr Ste 105, Lake Elsinore, CA 92530-4495 | |
(951) 674-8779 | |
Not Available |
Full Name | Edil Evangelista |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 425 Diamond Dr Ste 105, Lake Elsinore, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184272759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95012122 (California) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Entity Name | Pacific Heart Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932434206 PECOS PAC ID: 8022146265 Enrollment ID: O20100510000633 |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
Mailing Address | Practice Location Address |
---|---|
Edil Evangelista, MSN RN PHN FNPC CCRN 27649 Peppergrass Ct, Murrieta, CA 92562-2806 Ph: (714) 345-7739 | Edil Evangelista, MSN RN PHN FNPC CCRN 425 Diamond Dr Ste 105, Lake Elsinore, CA 92530-4495 Ph: (951) 674-8779 |
Vladimir Aguilar, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29430 Linden Pl, Lake Elsinore, CA 92530 Phone: 951-452-3202 | |
Mrs. Andrea Arthur, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31739 Riverside Dr Ste A1, Lake Elsinore, CA 92530 Phone: 951-245-0505 | |
Gina Michelle Musolino, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29416 Rocky Canyon Dr, Lake Elsinore, CA 92530 Phone: 909-921-5904 | |
Mayra Leticia Padilla Arechiga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 N Main St, Lake Elsinore, CA 92530 Phone: 855-505-7467 | |
Ms. Abigail Coiner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Diamond Dr, Lake Elsinore, CA 92530 Phone: 951-674-4114 | |
Rita Goode, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34222 Toyon Ct, Lake Elsinore, CA 92532 Phone: 951-836-5503 |