| Mrs Lyan Love G Mccullough, FNP-BC | |
|
502 Euclid Ave Ste 200, National City, CA 91950-2984 | |
| (619) 434-4019 | |
| (619) 434-4023 |
| Full Name | Mrs Lyan Love G Mccullough |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 502 Euclid Ave Ste 200, National City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063759181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 779235 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95028990 (California) | Primary |
| Entity Name | Brenton D. Wynn, Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598953960 PECOS PAC ID: 1759321086 Enrollment ID: O20050505001146 |
| Entity Name | Operation Samahan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275617169 PECOS PAC ID: 7911932645 Enrollment ID: O20051001000054 |
| Entity Name | Andres Smith Md A Professional Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225664964 PECOS PAC ID: 7416388129 Enrollment ID: O20200513002114 |
| Entity Name | Henry A Richardson Md A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447768197 PECOS PAC ID: 0749537801 Enrollment ID: O20230726000467 |
| Entity Name | Guardian Biologics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20240516000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lyan Love G Mccullough, FNP-BC 1447 Stearns Wharf Rd, Chula Vista, CA 91913-3566 Ph: (619) 259-8933 | Mrs Lyan Love G Mccullough, FNP-BC 502 Euclid Ave Ste 200, National City, CA 91950-2984 Ph: (619) 434-4019 |
Ms. Kia Lee, NP, MSN, BA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 305, National City, CA 91950 Phone: 619-818-7205 | |
De Courcy Luckett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W 8th St, National City, CA 91950 Phone: 619-474-8666 | |
Carl Oriel Raz Lero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Sue Insigne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Azeem Anjum, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 Euclid Ave Ste 200, National City, CA 91950 Phone: 619-267-9257 Fax: 619-267-9273 | |
Alissa Gray, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2575 E 8th St, National City, CA 91950 Phone: 619-470-6700 | |
Michael B Raguine, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2743 Highland Ave, National City, CA 91950 Phone: 619-474-2284 |