| Margaret Lisa Atmodjo, NP | |
|
8781 Van Nuys Blvd, Panorama City, CA 91402-2401 | |
| (818) 920-0303 | |
| Not Available |
| Full Name | Margaret Lisa Atmodjo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 8781 Van Nuys Blvd, Panorama 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 |
|---|---|---|---|
| 1437926771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95027342 (California) | Primary |
| Entity Name | Anvar Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831539485 PECOS PAC ID: 4284875451 Enrollment ID: O20130731000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Margaret Lisa Atmodjo, NP 8781 Van Nuys Blvd, Panorama City, CA 91402-2401 Ph: (818) 920-0303 | Margaret Lisa Atmodjo, NP 8781 Van Nuys Blvd, Panorama City, CA 91402-2401 Ph: (818) 920-0303 |
Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555 | |
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Kristine Satenik Shahinyan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8012 Allott Ave, Panorama City, CA 91402 Phone: 323-422-8696 |