Look up the most recent NPI and PECOS records

Aileen June Alcantara

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

757 Westwood Plz, Attention: Renee Appleby, 7 West, Los Angeles, CA 90095-8358

PECOS Enrollment

This provider is enrolled in PECOS as AILEEN ALCANTARA.

Based on the most recent information from CMS, provider Aileen June Alcantara is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1629405980
Provider Type
Individual
Full Name
Alcantara, Aileen June
Credential
RN, NP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/2/2013
Last Updated
10/2/2013

Contact Information

Practice Location

757 Westwood Plz, Attention: Renee Appleby, 7 West, Los Angeles, CA 90095-8358

(310) 206-8232

(310) 825-7473

Mailing Location

757 Westwood Plz, Attention: Renee Appleby, 7 West, Los Angeles, CA 90095-8358

(310) 206-8232

(310) 825-7473

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 23610 California

Aileen June Alcantara

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

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