| Kevin Ian Garibay I, | |
|
11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 | |
| (562) 942-8256 | |
| Not Available |
| Full Name | Kevin Ian Garibay I |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 11731 Telegraph Rd Ste G, Santa Fe Springs, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295252856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW102021 (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 |
|---|---|
| Kevin Ian Garibay I, 228 Ellingbrook Dr, Montebello, CA 90640-2108 Ph: (626) 478-5141 | Kevin Ian Garibay I, 11731 Telegraph Rd Ste G, Santa Fe Springs, CA 90670-6819 Ph: (562) 942-8256 |
Saskia Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5309 | |
Miriam Jeannette Ruiz, LCSW, CADC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12110 Slauson Ave Ste 16, Santa Fe Springs, CA 90670 Phone: 323-524-9347 | |
Ms. Phyllis Rae Noriega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5269 Fax: 562-944-2316 | |
James William Clark, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11015 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-906-2676 | |
Latrica Anne Cooper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10210 Orr And Day Rd, Santa Fe Springs, CA 90670 Phone: 562-348-0083 | |
Meagan Bryanna Morales, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11741 Telegraph Rd Ste A, Santa Fe Springs, CA 90670 Phone: 562-801-0318 | |
Leila Aguirre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11015 Bloomfield Ave, Santa Fe Springs, CA 90670 Phone: 562-906-2686 |