| Mary Wang, FNP-BC | |
|
12675 La Mirada Blvd Ste 200, La Mirada, CA 90638-2235 | |
| (818) 361-5437 | |
| Not Available |
| Full Name | Mary Wang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12675 La Mirada Blvd Ste 200, La Mirada, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851100184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95031677 (California) | Primary |
| Entity Name | Molina Healthcare Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
| Entity Name | Central Health Plan Of California, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Wang, FNP-BC 12675 La Mirada Blvd Ste 200, La Mirada, CA 90638-2235 Ph: (818) 361-5437 | Mary Wang, FNP-BC 12675 La Mirada Blvd Ste 200, La Mirada, CA 90638-2235 Ph: (818) 361-5437 |
Rebecca Jean Lengle, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15057 Barnwall St, La Mirada, CA 90638 Phone: 805-279-5276 | |
Mrs. Arcelyn Villanueva Abas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13633 Avion Dr, La Mirada, CA 90638 Phone: 213-509-8348 | |
Cristina Ruiz Lopez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12675 La Mirada Blvd Ste 200, La Mirada, CA 90638 Phone: 818-361-5437 | |
Brittany Shoffeitt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15050 Imperial Hwy, La Mirada, CA 90638 Phone: 562-698-0811 Fax: 562-789-5902 | |
Ms. Dorothy Grace Cuason, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12675 La Mirada Blvd, Suite 401, La Mirada, CA 90638 Phone: 562-789-5435 Fax: 562-789-5437 | |
Robin Elise Circo, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12675 La Mirada Blvd, La Mirada, CA 90638 Phone: 627-895-4535 | |
Regina Christ, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15050 Imperial Hwy, La Mirada, CA 90638 Phone: 562-698-0811 Fax: 562-902-7787 |