| Miss Bonnie Lynn Moon, DNP | |
|
5901 Green Valley Cir Ste 405, Culver City, CA 90230-6971 | |
| (424) 266-7474 | |
| Not Available |
| Full Name | Miss Bonnie Lynn Moon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5901 Green Valley Cir Ste 405, Culver 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 |
|---|---|---|---|
| 1508690603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95031601 (California) | Primary |
| Entity Name | Afshin Akhavan D.o., A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821210329 PECOS PAC ID: 3476516576 Enrollment ID: O20041109001272 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Bonnie Lynn Moon, DNP 100 Corporate Pointe Ste 270, Culver City, CA 90230-8735 Ph: (424) 266-7474 | Miss Bonnie Lynn Moon, DNP 5901 Green Valley Cir Ste 405, Culver City, CA 90230-6971 Ph: (424) 266-7474 |
Mrs. Alexandra Bilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-494-6621 | |
Mrs. Jane Ogechi Agu, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd, Culver City, CA 90232 Phone: 310-945-3350 | |
Peter Daniel Radulescu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Rayhanatou Barry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6009 Washington Blvd, Culver City, CA 90232 Phone: 310-985-7888 | |
Chukwuemeka Kingsley Ilomuanya, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Suite 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Noah Kojo Peter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Paul Pham Araullo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |