Sourihna Khounphichane, | |
4912 Kester Ave Apt 106, Sherman Oaks, CA 91403-1690 | |
(847) 271-3145 | |
Not Available |
Full Name | Sourihna Khounphichane |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 4912 Kester Ave Apt 106, Sherman Oaks, 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 |
---|---|---|---|
1427641513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95014199 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Global Wound Care Medical Group | 9335504539 | 199 |
Entity Name | Global Wound Care Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
Entity Name | American Wound Care Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20230927002772 |
Mailing Address | Practice Location Address |
---|---|
Sourihna Khounphichane, 4912 Kester Ave Apt 106, Sherman Oaks, CA 91403-1690 Ph: (847) 271-3145 | Sourihna Khounphichane, 4912 Kester Ave Apt 106, Sherman Oaks, CA 91403-1690 Ph: (847) 271-3145 |
Somaly Sith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403 Phone: 404-213-0453 | |
Arianna Tang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14322 Dickens St Unit 8, Sherman Oaks, CA 91423 Phone: 760-995-6972 | |
Mrs. Allison W Dolphin, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-788-0208 | |
Jennifer Quandt Nunez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403 Phone: 818-907-0322 | |
Racquelle Ranan Tugade Thieling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 Phone: 818-900-6480 Fax: 818-900-6488 | |
Laura Marie Cortez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411 Phone: 818-788-2400 | |
Ardene J Cudiamat, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403 Phone: 818-784-7903 Fax: 818-784-7026 |