Dr Kathleen Dumain, PSYD | |
23121 Verdugo Dr, Ste. 200, Laguna Hills, CA 92653-1339 | |
(714) 588-0233 | |
Not Available |
Full Name | Dr Kathleen Dumain |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 23121 Verdugo Dr, Laguna Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508953100 | NPI | - | NPPES |
PSY28257 | Other | CA | LICENSE NUMBER |
LCS20763 | Other | CA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS20763 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY28257 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
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 |
---|---|
Dr Kathleen Dumain, PSYD 27281 Las Ramblas, Ste 200, Mission Viejo, CA 92691-8303 Ph: (714) 588-0233 | Dr Kathleen Dumain, PSYD 23121 Verdugo Dr, Ste. 200, Laguna Hills, CA 92653-1339 Ph: (714) 588-0233 |
Dr. Vadana Iyer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23181 La Cadena Dr, Suite 103, Laguna Hills, CA 92653 Phone: 949-701-5544 Fax: 949-380-3754 | |
Maryann Samuel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 25255 Cabot Rd, Suite #210, Laguna Hills, CA 92653 Phone: 949-887-8779 | |
Miss Harpreet Malla, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23461 S Pointe Dr Ste 100, Laguna Hills, CA 92653 Phone: 949-452-0888 | |
John Flora-tostado, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23461 S Pointe Dr, Suite 190, Laguna Hills, CA 92653 Phone: 949-677-7741 Fax: 949-586-8508 | |
Dr. Susan L. Potts, PH.D Psychologist Medicare: May Accept Medicare Assignments Practice Location: 23177 La Cadena Dr Ste 103, Laguna Hills, CA 92653 Phone: 949-859-4414 Fax: 949-455-9822 | |
Gretchen Shibl, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23461 S Pointe Dr, Suite 220, Laguna Hills, CA 92653 Phone: 949-855-1556 Fax: 949-951-2871 | |
Dr. Mijin Park, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23141 Moulton Pkwy Ste 213, Laguna Hills, CA 92653 Phone: 949-258-3741 Fax: 949-258-3742 |