| Talar Taha Moy, FNP | |
|
24268 El Toro Road, Laguna Woods, CA 92637 | |
| (657) 241-8455 | |
| (657) 295-2116 |
| Full Name | Talar Taha Moy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24268 El Toro Road, Laguna Woods, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811695349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022139448 (California) | Primary |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Entity Name | Altea Medical California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174302954 PECOS PAC ID: 1850740150 Enrollment ID: O20231212002787 |
| Mailing Address | Practice Location Address |
|---|---|
| Talar Taha Moy, FNP 24268 El Toro Road, Laguna Woods, CA 92637 Ph: (657) 241-8455 | Talar Taha Moy, FNP 24268 El Toro Road, Laguna Woods, CA 92637 Ph: (657) 241-8455 |
Mrs. Dianne Lee Hummel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3371 Punta Alta, Unit 2 D, Laguna Woods, CA 92637 Phone: 949-510-2390 | |
Rosemarie Hill, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 Phone: 949-723-0431 | |
Sunghee Kim, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24268 El Toro Rd, Laguna Woods, CA 92637 Phone: 657-241-8455 Fax: 657-295-2116 | |
Nancy Nicolosi, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24331 El Toro Rd, Suite 380, Laguna Woods, CA 92637 Phone: 949-583-0222 |