| Rusty Razon, | |
|
6930 Beach Blvd, Suite L-141 Pmb 1007, Buena Park, CA 90621 | |
| (626) 848-6417 | |
| (714) 276-2604 |
| Full Name | Rusty Razon |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 6930 Beach Blvd, Buena Park, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710620430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95035001 (California) | Primary |
| 163W00000X | Registered Nurse | 95188168 (California) | Secondary |
| Entity Name | Mental Health and Nursing PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528693579 PECOS PAC ID: 5294151635 Enrollment ID: O20200817002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Rusty Razon, 6930 Beach Blvd, Suite L-141 Pmb 1007, Buena Park, CA 90621 Ph: Not Available | Rusty Razon, 6930 Beach Blvd, Suite L-141 Pmb 1007, Buena Park, CA 90621 Ph: (626) 848-6417 |
Kristine Mae Tinimbang Angeles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Tahoe Cir, Buena Park, CA 90621 Phone: 562-640-6344 |
Rana Choi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621 Phone: 714-503-6550 Fax: 714-409-3094 |
Tam Nguyen, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8850 Valley View St, Buena Park, CA 90620 Phone: 714-827-7321 |
Mr. Ace E. Alvarez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8585 Knott Ave Ste 101, Buena Park, CA 90620 Phone: 714-821-8588 Fax: 714-821-4482 |
Hyerin Park, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5832 Beach Blvd Unit 209, Buena Park, CA 90621 Phone: 714-676-5541 |
Mrs. Jeahee Jaycee Son, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5450 Beach Blvd Ste 100, Buena Park, CA 90621 Phone: 714-752-6273 |
Bernarda Brenda Gonzalez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6417 San Marcos Way, Buena Park, CA 90620 Phone: 714-603-4566 |