Victor M San Lucas Iii Iii, CRNA | |
4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | |
(323) 783-4011 | |
Not Available |
Full Name | Victor M San Lucas Iii Iii |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4733 W Sunset Blvd, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144424284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | NA3175 (California) | Primary |
Entity Name | Medvantage Anesthesia Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598110066 PECOS PAC ID: 8628350584 Enrollment ID: O20170130000748 |
Mailing Address | Practice Location Address |
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Victor M San Lucas Iii Iii, CRNA 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 Ph: (323) 783-4011 | Victor M San Lucas Iii Iii, CRNA 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 Ph: (323) 783-4011 |
Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 | |
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411 | |
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411 | |
Wesley Adam Easter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 | |
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 | |
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 |