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Timothy Michael Munier

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Ucla Medical Plz Ste 365a, Los Angeles, CA 90095-3229

PECOS Enrollment

This provider is enrolled in PECOS as TIMOTHY MUNIER.

Based on the most recent information from CMS, provider Timothy Michael Munier 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 today at 11:47 AM.

Profile Details

Provider ID
1750984829
Provider Type
Individual
Full Name
Munier, Timothy Michael
Credential
NP

Gender
Male
Sole Proprietor
No
Enumeration Date
11/19/2020
Last Updated
1/2/2025

Contact Information

Practice Location

200 Ucla Medical Plz Ste 365a, Los Angeles, CA 90095-3229

(310) 206-8272

Unlisted Fax

Mailing Location

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

(310) 301-8707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95031452 California
Code 363LA2200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95031452 California
Code 363LA2200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 309770 New York
Code 363LG0600X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95034152 California

Timothy Michael Munier

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Bantugan, Leonora B

Wanner, Violet

Basutkar, Vineeta

Shin, Valerie Soojung

Nomura, Marcie L

Green, Stacey D

Topico, Jose Jeffrey Cruz

Lopez, Edzel John Trono

Lansang, Kristina Panopio

Ito, Chiharu