| 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 | Nurse Anesthetist, Certified Registered |
| Location | 1786 Plaza Del Amo Apt 1, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851072227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95002171 (California) | Primary |
| 163W00000X | Registered Nurse | 844686 (California) | Secondary |
| 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 |
Diana Lynn Faulk, CRNA, MS Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3477 |
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 |
Mrs. Claire L Yue, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3477 |
Paul S Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3477 |
Mr. Richard Gabriel Rifa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3477 |
Ralph E. Quinonez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-3477 |