| Victoria Omuson, | |
|
9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | |
| (310) 945-3350 | |
| (310) 840-7023 |
| Full Name | Victoria Omuson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 9808 Venice Blvd, Culver City, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184920050 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern California Hospital At Hollywood | Hollywood, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Addis Medical Group A Medical Corporation | 0941463335 | 15 |
| William Gillespie And Associates Inc | 7517181373 | 15 |
| Entity Name | Addis Medical Group A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013289339 PECOS PAC ID: 0941463335 Enrollment ID: O20120522001225 |
| Entity Name | William Gillespie And Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558771246 PECOS PAC ID: 7517181373 Enrollment ID: O20140617002071 |
| Entity Name | Pacific Heritage Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467899450 PECOS PAC ID: 7517284029 Enrollment ID: O20150323000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Omuson, Po Box 4570, Palos Verdes Peninsula, CA 90274-9607 Ph: (424) 400-7748 | Victoria Omuson, 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 Ph: (310) 945-3350 |
Mrs. Alexandra Bilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-494-6621 | |
Mrs. Jane Ogechi Agu, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd, Culver City, CA 90232 Phone: 310-945-3350 | |
Peter Daniel Radulescu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Rayhanatou Barry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6009 Washington Blvd, Culver City, CA 90232 Phone: 310-985-7888 | |
Chukwuemeka Kingsley Ilomuanya, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Suite 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Noah Kojo Peter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3828 Delmas Ter, Culver City, CA 90232 Phone: 310-836-7000 | |
Paul Pham Araullo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |