Maria Perez, | |
11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 | |
(818) 361-5030 | |
Not Available |
Full Name | Maria Perez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11565 Laurel Canyon Blvd Ste 116, San Fernando, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043599020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 79771 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 102299 (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 |
---|---|
Maria Perez, 1250 W Glenoaks Blvd # 281, Glendale, CA 91201-2268 Ph: (818) 636-6347 | Maria Perez, 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340-4650 Ph: (818) 361-5030 |
Ms. Heidi Glenda Lennartz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St, San Fernando, CA 91340 Phone: 818-963-5690 | |
Victoria Curtin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1172 N Maclay Ave, San Fernando, CA 91340 Phone: 818-898-1388 Fax: 818-365-4031 | |
Mr. Ruben Vargas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Third St. C/o Public Defenders Office 2nd Floor, San Fernando Superior Court, San Fernando, CA 91340 Phone: 818-898-2490 Fax: 818-898-2595 | |
Brenda Delacruz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340 Phone: 818-361-5030 | |
Mrs. Mayra Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 | |
Azad Galustian, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 919 1st St, San Fernando, CA 91340 Phone: 818-256-1124 |