| Larisa Faktorovich, CRNA | |
|
1200 El Camino Real, South San Francisco, CA 94080-3208 | |
| (650) 742-2000 | |
| Not Available |
| Full Name | Larisa Faktorovich |
|---|---|
| Gender | |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 1200 El Camino Real, South San Francisco, California |
| Accepts Medicare Assignments | Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104713916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002626 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10968 |
| Mailing Address | Practice Location Address |
|---|---|
| Larisa Faktorovich, CRNA 1528 Pershing Dr Apt A, San Francisco, CA 94129-1203 Ph: () - | Larisa Faktorovich, CRNA 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000 |
Ms. Larell Louise Fineren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-3037 | |
Mr. Donald Rainville, MS, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2395 | |
Virginia Aiken Marken, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, Anesthesia Department, First Floor, South San Francisco, CA 94080 Phone: 650-742-2000 | |
Karrina Mock, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-3177 | |
Ms. Robin Tamra Ridenour, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2393 |