| Ms Ifunanya Olive Ifeacho, FNP | |
|
501 S Idaho St, La Habra, CA 90631-6047 | |
| (562) 690-0400 | |
| (562) 801-0436 |
| Full Name | Ms Ifunanya Olive Ifeacho |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 501 S Idaho St, La Habra, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699285064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95007648 (California) | Primary |
| Entity Name | St. John's Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Ifunanya Olive Ifeacho, FNP 10528 Cole Rd, Whittier, CA 90604-1536 Ph: (310) 999-3354 | Ms Ifunanya Olive Ifeacho, FNP 501 S Idaho St, La Habra, CA 90631-6047 Ph: (562) 690-0400 |
Eladio Mariano Lacsamana Tizon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1040 W Imperial Hwy Ste D, La Habra, CA 90631 Phone: 714-451-1072 Fax: 714-451-1078 | |
Ms. Marlaine Skaggs, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 S Harbor Blvd, Suite E 163, La Habra, CA 90631 Phone: 714-733-3849 | |
Linda Douglass, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1651 W El Portal Dr, La Habra, CA 90631 Phone: 562-857-2565 | |
Vivian Shi, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 S Idaho St, La Habra, CA 90631 Phone: 562-690-0400 | |
Annie Marie Ferrer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 W La Habra Blvd Apt 4, La Habra, CA 90631 Phone: 310-940-3390 | |
Mrs. Linda C Reyes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1160 Cheri Dr, La Habra, CA 90631 Phone: 951-201-7075 Fax: 562-365-3501 | |
Marzieh Simonton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 Donnybrook Ave, La Habra, CA 90631 Phone: 714-623-5552 |