Liset Cristino Crespin, LCSW | |
800 S Santa Anita Ave, Arcadia, CA 91006-3536 | |
(626) 254-5000 | |
(626) 577-4988 |
Full Name | Liset Cristino Crespin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 800 S Santa Anita Ave, Arcadia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659564532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW67583 (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 |
---|---|
Liset Cristino Crespin, LCSW 2500 Wilshire Blvd Ste 500, Los Angeles, CA 90057-4310 Ph: (323) 290-4345 | Liset Cristino Crespin, LCSW 800 S Santa Anita Ave, Arcadia, CA 91006-3536 Ph: (626) 254-5000 |
Ms. Chrishonda Donyea Hubert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-1400 | |
Yumi Han, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 436 Fairview Ave Apt 23, Arcadia, CA 91007 Phone: 213-344-7604 | |
Mr. Michael Lavern Kunch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-821-5843 Fax: 626-821-0858 | |
Michael Hannant, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-1400 | |
Ms. Fatima Opina Agregado, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-254-2400 | |
Jasmine A Vasquez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 440 E Huntington Dr Ste 300, Arcadia, CA 91006 Phone: 213-924-1145 | |
Mr. John William Fears, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 E Live Oak Ave, Arcadia, CA 91006 Phone: 626-821-3245 Fax: 626-821-0858 |