| Monemala Philavong-danh, NP-C | |
|
330 W Ramsey St, Banning, CA 92220-4823 | |
| (951) 849-1950 | |
| Not Available |
| Full Name | Monemala Philavong-danh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 330 W Ramsey St, Banning, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093228926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F08170474 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP95008033 (California) | Primary |
| Entity Name | Oliverio Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710415492 PECOS PAC ID: 1951675073 Enrollment ID: O20170927003571 |
| Mailing Address | Practice Location Address |
|---|---|
| Monemala Philavong-danh, NP-C 10590 Town Center Dr Ste 170, Rancho Cucamonga, CA 91730-0361 Ph: (909) 483-0000 | Monemala Philavong-danh, NP-C 330 W Ramsey St, Banning, CA 92220-4823 Ph: (951) 849-1950 |
Mrs. Marie Antoinette Tanare Lucco, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 N Highland Springs Ave, Banning, CA 92220 Phone: 760-413-3755 |
Kevin Simmons, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 264 N Highland Springs Ave Ste 1b, Banning, CA 92220 Phone: 951-769-7191 |
Amy Barber, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 W Ramsey St Bldg 2, Banning, CA 92220 Phone: 760-202-0686 |
Carri Ranie Lakes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6109 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Mary Joyce Espinoza, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5957 W Ramsey St, Banning, CA 92220 Phone: 951-845-0313 |
Glen Wiley, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11555 Potrero Rd, Banning, CA 92220 Phone: 251-849-4761 |
Ms. Yvonne Dejesus Enriquez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 S Highland Springs Ave, Banning, CA 92220 Phone: 951-797-6547 Fax: 951-769-0202 |