Dalia Manuela Diaz, | |
12440 Firestone Blvd Ste 316, Norwalk, CA 90650-9319 | |
(562) 864-3722 | |
(562) 864-4596 |
Full Name | Dalia Manuela Diaz |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12440 Firestone Blvd Ste 316, Norwalk, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063939718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW100058 (California) | Primary |
101YM0800X | Counselor - Mental Health | ASW77784 (California) | Secondary |
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
---|---|
Dalia Manuela Diaz, 12440 Firestone Blvd Ste 316, Norwalk, CA 90650-9319 Ph: (562) 864-3722 | Dalia Manuela Diaz, 12440 Firestone Blvd Ste 316, Norwalk, CA 90650-9319 Ph: (562) 864-3722 |
Josephine N Borgonia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11401 Bloomfield Avenue, Norwalk, CA 90650 Phone: 562-565-6503 | |
Eva Shanching Fukumoto, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12440 Imperial Hwy Ste 116, Norwalk, CA 90650 Phone: 800-854-7771 Fax: 562-868-4609 | |
Gordon Wollin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11401 South Bloomfield Ave., Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 | |
Miss Gayle R. Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12440 Imperial Hwy, 116, Norwalk, CA 90650 Phone: 562-651-5085 | |
Ms. Doma Tsering, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11401 South Bloomfield Ave., Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 | |
Katie Christina Mckay, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12360 Firestone Blvd, Norwalk, CA 90650 Phone: 562-867-7999 |