| Ryan Michael De La Merced, | |
|
1786 Plaza Del Amo Apt 1, Torrance, CA 90501-4507 | |
| (310) 408-6890 | |
| Not Available |
| Full Name | Ryan Michael De La Merced |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 1786 Plaza Del Amo Apt 1, Torrance, 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 |
|---|---|---|---|
| 1851072227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 844686 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95002171 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Michael De La Merced, 1786 Plaza Del Amo Apt 1, Torrance, CA 90501-4507 Ph: (310) 408-6890 | Ryan Michael De La Merced, 1786 Plaza Del Amo Apt 1, Torrance, CA 90501-4507 Ph: (310) 408-6890 |
Ms. Lori Anne D'amore, M.S. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St # 10, Torrance, CA 90502 Phone: 310-222-3472 Fax: 310-782-1467 | |
Mr. Ian Hyeon Kim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-2345 | |
Sharif Elakabawi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3472 | |
Carissa Villarreal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4140 W 190th St, Torrance, CA 90504 Phone: 310-967-1889 | |
Lisa Taft, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Dept Of Anesthesiology, Torrance, CA 90502 Phone: 310-222-3472 |