| La Vista Health | |
|
1111 Grand Ave Ste L Diamond Bar CA 91765-4172 | |
| (909) 551-0205 | |
| (909) 345-7084 |
| Full Name | La Vista Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Grand Ave Ste L, Diamond Bar, California |
| Authorized Official Name and Position | Melissa A Trevelline (CEO) |
| Authorized Official Contact | 7244623975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vista Health 1111 Grand Ave Ste L Diamond Bar CA 91765-4172 Ph: (909) 551-0205 | La Vista Health 1111 Grand Ave Ste L Diamond Bar CA 91765-4172 Ph: (909) 551-0205 |
| NPI Number | 1942817804 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/20/2021 |
| Medicare PECOS PAC ID | 2668860834 |
|---|---|
| Medicare Enrollment ID | O20211021001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942817804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Janelle Warmington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588981807 PECOS PAC ID: 0547481533 Enrollment ID: I20141015002151 |
| Provider Name | Melissa A Trevelline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063890929 PECOS PAC ID: 0446555106 Enrollment ID: I20210816000960 |
| Provider Name | Carla Jeanne Hirashima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235622077 PECOS PAC ID: 2860866902 Enrollment ID: I20230313002254 |
Alaa Hajal Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Grand Ave Ste L, Diamond Bar, CA 91765 Phone: 909-551-0205 Fax: 909-345-7084 | |
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