| Mrs Holly Diane Fyda, NP | |
|
2159 Castle Rock Cir, Corona, CA 92878-5465 | |
| (951) 285-5571 | |
| Not Available |
| Full Name | Mrs Holly Diane Fyda |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2159 Castle Rock Cir, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750844304 | NPI | - | NPPES |
| NP95011339 | Other | CA | BRN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95011339 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Cep America - Neurology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225569346 PECOS PAC ID: 3971871500 Enrollment ID: O20170622001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Holly Diane Fyda, NP 2159 Castle Rock Cir, Corona, CA 92878-5465 Ph: (951) 285-5571 | Mrs Holly Diane Fyda, NP 2159 Castle Rock Cir, Corona, CA 92878-5465 Ph: (951) 285-5571 |
Myralene Galamgam Curameng, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln Ave, Corona, CA 92882 Phone: 951-432-7196 | |
Jessie Wackerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 Mount Cantara Cir, Corona, CA 92882 Phone: 714-267-9817 | |
Avelardo V Malvido, MSN, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1492 W 6th St Ste M, Corona, CA 92882 Phone: 949-491-9616 | |
Sheila Marie G Maderazo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2079 Compton Ave Ste B102, Corona, CA 92881 Phone: 951-371-6600 | |
Karina Rose Lopez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2780 Cabot Dr Ste 120, Corona, CA 92883 Phone: 310-591-4292 | |
Martena Guirgus Israil, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1303 W 6th St, Corona, CA 92882 Phone: 951-278-8910 | |
Emma Jeddi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1820 Fullerton Ave Ste 120, Corona, CA 92881 Phone: 951-371-9500 |