| Haley Martin, | |
|
3440 E La Palma Ave, Anaheim, CA 92806-2020 | |
| (317) 644-9054 | |
| Not Available |
| Full Name | Haley Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3440 E La Palma Ave, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013394501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 763915 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000415 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Martin, 120 35th St, Hermosa Beach, CA 90254-2020 Ph: (317) 744-9054 | Haley Martin, 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (317) 644-9054 |
Laura Koh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-2000 | |
Teresa Huang, RN, MSN, FNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-2000 | |
Carol J Wesner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Carol A Dilibero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 714-279-4487 | |
Edward H Marthaler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Susan M Heravi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Tracy L Ouzounian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |