Brenda Rodriguez, | |
9650 Zelzah Ave, Northridge, CA 91325-2003 | |
(818) 993-9311 | |
Not Available |
Full Name | Brenda Rodriguez |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9650 Zelzah Ave, Northridge, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457748543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW77026 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Brenda Rodriguez, 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: (818) 993-9311 | Brenda Rodriguez, 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: (818) 993-9311 |
Angela Ponce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Rupal Mankassarian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Faith Lee Chin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9935 Lindley Ave, Northridge, CA 91325 Phone: 818-395-2557 | |
Melissa Arce, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Denice Castellon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8550 Balboa Blvd Ste 150, Northridge, CA 91325 Phone: 818-830-0200 | |
Billoah A Greene, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9710 Zelzah Ave # B204, Northridge, CA 91325 Phone: 310-721-1430 | |
Jasmin Castillo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 |