| Mrs Rebecca Ann Pak, CPNP-PC | |
|
27800 Medical Center Rd Ste 204, Mission Viejo, CA 92691-6408 | |
| (949) 364-3532 | |
| (949) 347-7645 |
| Full Name | Mrs Rebecca Ann Pak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 27800 Medical Center Rd Ste 204, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487112371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 95010977 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Rebecca Ann Pak, CPNP-PC 27800 Medical Center Rd Ste 204, Mission Viejo, CA 92691-6408 Ph: (949) 364-3532 | Mrs Rebecca Ann Pak, CPNP-PC 27800 Medical Center Rd Ste 204, Mission Viejo, CA 92691-6408 Ph: (949) 364-3532 |
Chelsea Zimmerman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 | |
Casey Cortes, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27401 Los Altos Ste 120, Mission Viejo, CA 92691 Phone: 562-431-8822 | |
Jeremy John Christie, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26800 Crown Valley Pkwy Ste 150, Mission Viejo, CA 92691 Phone: 949-276-2111 | |
Yi-jywe Cheng, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26611 Lira Cir, Mission Viejo, CA 92691 Phone: 714-907-5108 | |
Ms. Susan T. Manabo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26455 Marsala Way, Mission Viejo, CA 92692 Phone: 949-348-0476 Fax: 213-484-9939 | |
Darolyn Underwood Plant, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23228 Madero, Mission Viejo, CA 92691 Phone: 949-454-3940 | |
Ms. Brendi M Gayle, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27700 Medical Center Rd, Mission Viejo, CA 92691 Phone: 949-364-1400 |