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Merdie Kristine Delfin

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Medical Plaza 140, Los Angeles, CA 90095

PECOS Enrollment

This provider is enrolled in PECOS as MERDIE DELFIN.

Based on the most recent information from CMS, provider Merdie Kristine Delfin is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1487156428
Provider Type
Individual
Full Name
Delfin, Merdie Kristine
Title
Mrs.
Credential
MSN, FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
3/6/2018
Last Updated
1/8/2020

Contact Information

Practice Location

200 Medical Plaza 140, Los Angeles, CA 90095

(310) 794-3070

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95007511 California

Merdie Kristine Delfin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Radler, Diana

West, Erin Christina

Frias, Giovanni S

Lewis, Marisa P

Docherty, Hannah Elizabeth

Munier, Timothy Michael

Lopez, Edzel John Trono

Cardenas, Michelle Cristal

Meneses, Katherine

Feng, Kelsey L