Davon Phomvongsa, - Licensed Vocational Nurse in Alpine, CA

Davon Phomvongsa, is a Licensed Vocational Nurse based in Alpine, California. Davon Phomvongsa is licensed to practice in California (license number VN185979) and her current practice location is 2122 Corte Plata Espuela, Alpine, California. She can be reached at her office (for appointments etc.) via phone at (619) 659-0966.

NPI number for Davon Phomvongsa is 1538321534 and her current mailing address is 12617 Lindo Ln, Unit C, Lakeside, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538321534.

Contact Information

Davon Phomvongsa,
2122 Corte Plata Espuela,
Alpine, CA 91901-3184
(619) 659-0966
Not Available



Provider's Profile

Full NameDavon Phomvongsa
GenderFemale
SpecialityLicensed Vocational Nurse
Location2122 Corte Plata Espuela, Alpine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538321534
  • Provider Enumeration Date: 06/30/2008
  • Last Update Date: 06/30/2008

Medical Identifiers

Medical identifiers for Davon Phomvongsa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538321534NPI-NPPES
92543753A65053MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164X00000XLicensed Vocational Nurse VN185979 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Davon Phomvongsa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Davon Phomvongsa,
12617 Lindo Ln, Unit C,
Lakeside, CA 92040-4267

Ph: (619) 851-8012
Davon Phomvongsa,
2122 Corte Plata Espuela,
Alpine, CA 91901-3184

Ph: (619) 659-0966

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› Verified 7 days ago


Licensed Vocational Nurse Nurses in Alpine, CA

Miss Jodi Marie Culligan, LVN
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1539 Tavern Rd Apt 123, Alpine, CA 91901
Phone: 858-603-2492    
Mr. Robert Joseph Hoffman Jr.,
Licensed Vocational Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2122 Corte Plata Espuela, Alpine, CA 91901
Phone: 619-659-0966    

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