DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MYRN LISA MEDLOCK RN, PHN

MEDICARE: MYRN LISA MEDLOCK RN, PHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator410535CA

General Provider Information

NPI Number : 1427230630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRN LISA MEDLOCK RN, PHN
Provider Business Mailing Address
First Line : 660 E LOS ANGELES AVE STE B2
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93065-1884
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 660 E LOS ANGELES AVE STE B2
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93065-1884
Country : US
Telephone Number : 805-578-1111
Fax Number : 805-578-1104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2007
Last Update Date : 11/29/2007

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:
200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935
Practice Phone: 209-239-2197
Practice Fax: 209-239-7672
1407797202 — MR. MICHAEL LAWRENCE LAJEUNESSE JR. CADC-1
Practice Location Address:
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
93065-1884
Practice Phone: 805-522-1844
Practice Fax:
1992861553 — AEGIS TREATMENT CENTERS, LLC
Practice Location Address:
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
93065-1884
Practice Phone: 805-522-1844
Practice Fax: 805-522-5345
1922494319 — CHELSEA PAPPAS
Practice Location Address:
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
93065-1884
Practice Phone: 805-522-1844
Practice Fax:
1851807093 — MRS. KRISTEN MICHELLE BERGO CATC-1
Practice Location Address:
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
93065-1884
Practice Phone: 805-522-1844
Practice Fax:
1083194864 — EMMA PALLONE
Practice Location Address:
660 E LOS ANGELES AVE STE B2
SIMI VALLEY, CA
93065-1884
Practice Phone: 805-217-0168
Practice Fax:

Directions to “ MYRN LISA MEDLOCK RN, PHN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.