Karla Jeannette Edwards, | |
10101 Slater Ave Ste 241, Fountain Valley, CA 92708-4723 | |
(714) 378-2620 | |
(714) 378-2631 |
Full Name | Karla Jeannette Edwards |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10101 Slater Ave Ste 241, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124252655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW17069 (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 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Karla Jeannette Edwards, 1900 E 4th St, Santa Ana, CA 92705-3910 Ph: (714) 378-2620 | Karla Jeannette Edwards, 10101 Slater Ave Ste 241, Fountain Valley, CA 92708-4723 Ph: (714) 378-2620 |
Marisa Jill Cherry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16027 Brookhurst St # I-2006, Fountain Valley, CA 92708 Phone: 949-436-5023 | |
Miss Valerie Ann Riddle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 18785 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-975-1719 | |
Jeanette Razo-gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17870 Newhope St Ste 104-327, Fountain Valley, CA 92708 Phone: 626-268-3226 | |
Mina Pham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17150 Newhope St Ste 205, Fountain Valley, CA 92708 Phone: 949-431-6374 | |
Guadalupe Liset Gallegos, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 18350 Mount Langley St Ste 220, Fountain Valley, CA 92708 Phone: 714-378-2620 | |
Miss Gemma Lara De Blas Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17350 Mount Herrmann St, Suite A, Fountain Valley, CA 92708 Phone: 714-444-3463 Fax: 714-444-1768 |