Victoria Veronica Ascencio

Individual provider Active NPI Registered Nurse · La Mirada, CA

NPI 1124755251 · NPPES record last updated Aug 8, 2022

Key facts

NPI
1124755251
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95071794 (CA)
Practice address
14885 Telegraph Rd
La Mirada, CA 90638-1060
Phone
(562) 777-3405
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95071794CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Current
since Aug 14, 2022
Accepting new patients
Walgreen Co Past
since Aug 14, 2022
Accepting new patients

Locations

14885 Telegraph Rd
La Mirada, CA 90638
Phone (562) 777-3405

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95071794 CA Yes

Addresses

Primary practice location

14885 Telegraph Rd
La Mirada, CA 90638-1060

Mailing address

14885 Telegraph Rd
La Mirada, CA 90638-1060
Phone (562) 777-3405

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address victoria.ascencio@walgreens.com

Other providers in La Mirada, CA

All providers in La Mirada, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.