Malia Case, | |
2477 Glencoe Ave, Venice, CA 90291-5002 | |
(808) 938-2162 | |
Not Available |
Full Name | Malia Case |
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Gender | Female |
Speciality | Registered Nurse - Critical Care Medicine |
Location | 2477 Glencoe Ave, Venice, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568144616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | RN95249524 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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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 |
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Malia Case, 2477 Glencoe Ave, Venice, CA 90291-5002 Ph: () - | Malia Case, 2477 Glencoe Ave, Venice, CA 90291-5002 Ph: (808) 938-2162 |
Barbara Grotts, N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave., Venice, CA 90291 Phone: 310-392-8630 | |
Catherine Charouhas, N.P. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8630 | |
Fanta Michelle Bayoh, MSN, APRN, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 905 Venice Blvd, Venice, CA 90291 Phone: 310-392-8636 Fax: 310-664-7998 | |
Linda Sittler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1025 Palms Ave, Venice, CA 90291 Phone: 213-407-3331 | |
Lily Anna Levine, RN, PMHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2516 Lincoln Blvd, Venice, CA 90291 Phone: 310-770-6722 | |
Judy Villanueva, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Rose Ave, Venice, CA 90291 Phone: 310-392-8636 |