| Rodolfo Alvarado, PMHNP | |
|
18107 Sherman Way Ste 200, Reseda, CA 91335-8802 | |
| (818) 783-1002 | |
| Not Available |
| Full Name | Rodolfo Alvarado |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 18107 Sherman Way Ste 200, Reseda, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790248276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95038294 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ehab Yacoub Md Inc | 5092099523 | 179 |
| Entity Name | Ehab Yacoub MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo Alvarado, PMHNP 8119 Mcnulty Ave, Winnetka, CA 91306-1733 Ph: (818) 456-9311 | Rodolfo Alvarado, PMHNP 18107 Sherman Way Ste 200, Reseda, CA 91335-8802 Ph: (818) 783-1002 |
Jiyeon Kim, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002 |
Adrean Kentray Knight, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7150 Tampa Ave, Reseda, CA 91335 Phone: 888-227-3745 |
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401 |
Gin Marie Arias Maranan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd, Reseda, CA 91335 Phone: 866-389-2727 |
Elizabeth Ruth Caballero, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7601 Canby Ave, Reseda, CA 91335 Phone: 818-814-3936 |
Shenelle Gunatilake, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18908 Strathern St, Reseda, CA 91335 Phone: 818-414-1175 |
Mano Hovasapyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8054 Nestle Ave, Reseda, CA 91335 Phone: 530-500-5550 |