Emilio Osorio, | |
3080 La Selva St, San Mateo, CA 94403-2109 | |
(650) 573-2771 | |
(650) 349-0771 |
Full Name | Emilio Osorio |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3080 La Selva St, San Mateo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841316577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW16037 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Emilio Osorio, 3080 La Selva St, San Mateo, CA 94403-2109 Ph: (650) 573-2771 | Emilio Osorio, 3080 La Selva St, San Mateo, CA 94403-2109 Ph: (650) 573-2771 |
Mr. Robert Livingstone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 E 3rd Ave Ste 307, San Mateo, CA 94401 Phone: 650-347-5167 Fax: 650-347-5284 | |
Selma C Mangrum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Paul Scannell Dr, San Mateo, CA 94402 Phone: 650-312-5234 Fax: 650-312-5305 | |
Eri Tsujii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1950 Alameda De Las Pulgas # 157, San Mateo, CA 94403 Phone: 650-372-6143 Fax: 650-525-1762 | |
Deborah Marie Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 438 Sonora Dr, San Mateo, CA 94402 Phone: 650-342-6642 | |
Kelsey Anne Fruehan Dattilo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403 Phone: 650-573-2222 | |
Natali Gutierrez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Tower Rd, San Mateo, CA 94402 Phone: 650-381-4401 | |
Kristen Eduviges Burger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas, San Mateo, CA 94403 Phone: 650-372-8540 |