Cristina Rodriguez, | |
1359 N Grand Ave, Covina, CA 91724-1016 | |
(626) 430-2900 | |
(626) 331-0035 |
Full Name | Cristina Rodriguez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1359 N Grand Ave, Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457729980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW72237 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW94658 (California) | Primary |
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Mailing Address | Practice Location Address |
---|---|
Cristina Rodriguez, 1359 N Grand Ave, Covina, CA 91724-1016 Ph: (626) 430-2900 | Cristina Rodriguez, 1359 N Grand Ave, Covina, CA 91724-1016 Ph: (626) 430-2900 |
Jolyn Davidson, RN, LCSW, DCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1338 Center Court Dr, Suite 102, Covina, CA 91724 Phone: 626-339-2140 | |
Mannya S. Acosta-duque, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1085 W Badillo St, Covina, CA 91722 Phone: 626-332-8138 Fax: 626-332-0433 | |
Amy Tam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 N Grand Ave Ste 100, Covina, CA 91724 Phone: 626-395-7100 | |
Mary Ellen Tanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4740 N Grand Ave, Covina, CA 91724 Phone: 626-859-2089 Fax: 626-859-6537 | |
Ms. Vanessa Linda Cruz Torres, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4740 N Grand Ave, Covina, CA 91724 Phone: 626-422-8033 Fax: 626-859-6537 | |
Anai Esteban, BA, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 530 W Badillo St, Covina, CA 91722 Phone: 626-993-3000 | |
Ms. Rosa Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1359 N Grand Ave, Covina, CA 91724 Phone: 626-430-2901 |