| Elizabeth Ruth Caballero, | |
|
7601 Canby Ave, Reseda, CA 91335-2953 | |
| (818) 814-3936 | |
| Not Available |
| Full Name | Elizabeth Ruth Caballero |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 7601 Canby Ave, Reseda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134958432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95030121 (California) | Primary |
| Entity Name | Universal Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093023277 PECOS PAC ID: 0547449399 Enrollment ID: O20110125000952 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ruth Caballero, 7601 Canby Ave, Reseda, CA 91335-2953 Ph: (818) 674-4414 | Elizabeth Ruth Caballero, 7601 Canby Ave, Reseda, CA 91335-2953 Ph: (818) 814-3936 |
Jiyeon Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 | |
Adrean Kentray Knight, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7150 Tampa Ave, Reseda, CA 91335 Phone: 888-227-3745 | |
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401 | |
Shenelle Gunatilake, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18908 Strathern St, Reseda, CA 91335 Phone: 818-414-1175 | |
Mano Hovasapyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8054 Nestle Ave, Reseda, CA 91335 Phone: 530-500-5550 | |
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742 |