Edith Fong, LCSW | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-1011 | |
(626) 405-6768 |
Full Name | Edith Fong |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982802831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS18778 (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 |
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Edith Fong, LCSW 393 E Walnut St, 3rd Floor - Phr Systems, Pasadena, CA 91188-0001 Ph: (626) 405-7914 | Edith Fong, LCSW 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
Adriana Cornejo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13001 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-373-2900 | |
Ms. Cindy D Lopez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Claybourne D King, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 Fax: 626-405-6768 | |
Ms. Terry Ann Taylor, LICENSED CLINICAL SO Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Baldwin Park Blvd, Baldwin Park, CA 91746 Phone: 909-394-5333 Fax: 909-394-5330 | |
Anne Y Jong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 Fax: 626-405-6768 | |
Mr. Jose L Galindo Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3122 Maine Ave, Baldwin Park, CA 91706 Phone: 626-483-3395 | |
Aracely Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-7042 |