| Ivan Zermeno, NP- PMHNP | |
|
14445 Olive View Dr, Sylmar, CA 91342-1437 | |
| (747) 210-3000 | |
| Not Available |
| Full Name | Ivan Zermeno |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 14445 Olive View Dr, Sylmar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760247621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95028270 (California) | Primary |
| Entity Name | Ehab Yacoub Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Zermeno, NP- PMHNP 17047 Angeles Ln, Santa Clarita, CA 91387-8807 Ph: (818) 918-0272 | Ivan Zermeno, NP- PMHNP 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-3000 |
Dennis Poon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3000 | |
Ms. Valerie J. Payne, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Room 6b119-h, Sylmar, CA 91342 Phone: 818-364-3031 | |
Tara Elizabeth Soto, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14117 Hubbard St Unit M, Sylmar, CA 91342 Phone: 818-833-3066 | |
Mrs. June Noelle Garcia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12737 Glenoaks Blvd Ste 26, Sylmar, CA 91342 Phone: 818-362-1758 | |
Garrett Steadman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3000 | |
Mr. Wilfredo Lapuz Del Rosario, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Sylmar, CA 91342 Phone: 818-364-3107 | |
Ms. Diana Grace Reyes De Leon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12376 Twilight Ave, Sylmar, CA 91342 Phone: 818-648-0248 |