| Rahal Ehsan, NP | |
|
23756 Sandhurst Ln, Harbor City, CA 90710-1419 | |
| (310) 997-2269 | |
| Not Available |
| Full Name | Rahal Ehsan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 23756 Sandhurst Ln, Harbor 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 |
|---|---|---|---|
| 1710553268 | NPI | - | NPPES |
| 95017458 | Medicaid | CA | |
| 95017458 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95017458 (California) | Primary |
| Entity Name | Midwest Post-acute Care Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326490871 PECOS PAC ID: 4183905490 Enrollment ID: O20161228001832 |
| Entity Name | Inland Empire Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922628460 PECOS PAC ID: 2163853987 Enrollment ID: O20200512001586 |
| Entity Name | Mpac Smh Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821660960 PECOS PAC ID: 6002206380 Enrollment ID: O20211130001905 |
| Mailing Address | Practice Location Address |
|---|---|
| Rahal Ehsan, NP 23756 Sandhurst Ln, Harbor City, CA 90710-1419 Ph: (310) 997-2269 | Rahal Ehsan, NP 23756 Sandhurst Ln, Harbor City, CA 90710-1419 Ph: (310) 997-2269 |
Angelita Domingo Bueno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 310-784-5800 Fax: 310-530-9811 | |
Rosemary Fleming, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Christina Cortez Van Guyse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Rose S Hurowitz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Renee D Wright, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Michelle Neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Janice M Boyk, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |