| Dr Summer Ray Laquerre, CRNA | |
|
18840 Ventura Blvd Ste 100, Tarzana, CA 91356-3382 | |
| (805) 794-5350 | |
| Not Available |
| Full Name | Dr Summer Ray Laquerre |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 18840 Ventura Blvd Ste 100, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407483704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 584615 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001381 (California) | Primary |
| Entity Name | Alexander P Hersel Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063511475 PECOS PAC ID: 3678550795 Enrollment ID: O20081209000113 |
| Entity Name | Tip Top Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508283698 PECOS PAC ID: 0941429872 Enrollment ID: O20140908002508 |
| Entity Name | Scq Anesthesia A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689381105 PECOS PAC ID: 9436520814 Enrollment ID: O20230123000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Summer Ray Laquerre, CRNA 22555 Waterbury St, Woodland Hills, CA 91364-4924 Ph: (805) 794-5350 | Dr Summer Ray Laquerre, CRNA 18840 Ventura Blvd Ste 100, Tarzana, CA 91356-3382 Ph: (805) 794-5350 |
Mr. Kimbal W Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Po Box 573369, Tarzana, CA 91357 Phone: 818-884-7724 Fax: 818-884-7725 |