Ms Irene Imuetiyan Obanor, RN | |
330 E Live Oak Ave, Arcadia, CA 91006-5617 | |
(626) 254-1400 | |
(626) 447-4792 |
Full Name | Ms Irene Imuetiyan Obanor |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 330 E Live Oak Ave, Arcadia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598020299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95019425 (California) | Secondary |
163W00000X | Registered Nurse | 793102 (California) | Primary |
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Entity Name | Salvage Psychiatry A Professional Nursing Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043937923 PECOS PAC ID: 4688044688 Enrollment ID: O20230428002145 |
Mailing Address | Practice Location Address |
---|---|
Ms Irene Imuetiyan Obanor, RN 4841 N Bender Ave, Covina, CA 91724-1516 Ph: (626) 254-1400 | Ms Irene Imuetiyan Obanor, RN 330 E Live Oak Ave, Arcadia, CA 91006-5617 Ph: (626) 254-1400 |
Sandra Mabel Buenrrostro, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-1400 | |
Marlene Malaguit De Castro, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 159 E Huntington Dr, Unit 4, Arcadia, CA 91006 Phone: 626-446-5468 Fax: 626-446-7068 | |
Susan Bermond Perry, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 450 E Huntington Dr, Arcadia, CA 91006 Phone: 626-254-2181 Fax: 626-445-1542 | |
Araceli G Reinoso, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-1414 | |
Rose M Sun, N.P. Registered Nurse Medicare: Medicare Enrolled Practice Location: 5522 Gracewood Ave, Arcadia, CA 91007 Phone: 626-353-2594 | |
Do-young Park, FNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1401 S Baldwin Ave, Arcadia, CA 91007 Phone: 626-445-1284 | |
Tiago Ieong, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5530 Halifax Rd, Arcadia, CA 91007 Phone: 626-532-6357 |