| Lijuan Zhao, FNP | |
|
260 E Holt Ave, Pomona, CA 91767-5426 | |
| (909) 629-8088 | |
| (909) 629-8755 |
| Full Name | Lijuan Zhao |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 260 E Holt Ave, Pomona, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053784421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95003120 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeline Emergency Physicians Medical Group, Inc. | 0345521613 | 21 |
| Entity Name | Glendale Emergency Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606834 PECOS PAC ID: 0648269001 Enrollment ID: O20040510001673 |
| Entity Name | Shen Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457427221 PECOS PAC ID: 8527164482 Enrollment ID: O20070509000575 |
| Entity Name | Team Physicians Of Southern California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225499015 PECOS PAC ID: 0446545354 Enrollment ID: O20160816003061 |
| Entity Name | Ridgeline Emergency Physicians Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972953230 PECOS PAC ID: 0345521613 Enrollment ID: O20161228000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Lijuan Zhao, FNP 260 E Holt Ave, Pomona, CA 91767-5426 Ph: (909) 629-8088 | Lijuan Zhao, FNP 260 E Holt Ave, Pomona, CA 91767-5426 Ph: (909) 629-8088 |
Michael Marinello, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 E Bonita Ave, Pomona, CA 91767 Phone: 909-643-2980 | |
Rohan Bassi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1866 N Orange Grove Ave Ste 202, Pomona, CA 91767 Phone: 909-623-8796 Fax: 909-623-3076 | |
Patrick Alonzo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-623-2100 | |
Raquel C Rulloda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581 | |
Shellee Reese, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Royalty Dr, Pomona, CA 91767 Phone: 909-865-9901 | |
Ivy Lien Yin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 N Garey Ave, Pomona, CA 91767 Phone: 909-622-1235 |