| Mya Theda Kyi, | |
|
217 Highland Ave, National City, CA 91950-1518 | |
| (619) 255-9164 | |
| (619) 434-7308 |
| Full Name | Mya Theda Kyi |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 217 Highland Ave, National City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619754025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95023819 (California) | Primary |
| Entity Name | La Maestra Family Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Mya Theda Kyi, 209 Highland Ave, National City, CA 91950-1518 Ph: (619) 255-9164 | Mya Theda Kyi, 217 Highland Ave, National City, CA 91950-1518 Ph: (619) 255-9164 |
Ms. Kia Lee, NP, MSN, BA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 305, National City, CA 91950 Phone: 619-818-7205 | |
De Courcy Luckett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W 8th St, National City, CA 91950 Phone: 619-474-8666 | |
Carl Oriel Raz Lero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Sue Insigne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743 | |
Azeem Anjum, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 Euclid Ave Ste 200, National City, CA 91950 Phone: 619-267-9257 Fax: 619-267-9273 | |
Alissa Gray, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2575 E 8th St, National City, CA 91950 Phone: 619-470-6700 | |
Michael B Raguine, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2743 Highland Ave, National City, CA 91950 Phone: 619-474-2284 |