Brianda Renteria, | |
2081 Palos Verdes Dr N, Lomita, CA 90717-3701 | |
(310) 325-6542 | |
Not Available |
Full Name | Brianda Renteria |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2081 Palos Verdes Dr N, Lomita, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215332044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 85151 (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 |
Mailing Address | Practice Location Address |
---|---|
Brianda Renteria, 2081 Palos Verdes Dr N, Lomita, CA 90717-3701 Ph: (310) 325-6542 | Brianda Renteria, 2081 Palos Verdes Dr N, Lomita, CA 90717-3701 Ph: (310) 325-6542 |
Ms. Nivia Van Damme, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2259 243rd St, Lomita, CA 90717 Phone: 310-326-6566 | |
Emily London, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2081 Palos Verdes Dr N, Lomita, CA 90717 Phone: 310-517-3425 | |
Paul Stevens, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2081 Palos Verdes Dr N, Lomita, CA 90717 Phone: 310-325-6542 | |
Gabrielle Simmons, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2081 Palos Verdes Dr N, Lomita, CA 90717 Phone: 424-251-7600 | |
Leny Maritza Rodriguez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24330 Narbonne Ave, Lomita, CA 90717 Phone: 310-534-1083 | |
Paula Parra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24330 Narbonne Ave Ste 2, Lomita, CA 90717 Phone: 310-534-1083 |