Mayra Ruvalcaba Gomez, LCSW | |
1120 W La Veta Ave Ste 660, Orange, CA 92868-4244 | |
(714) 296-6921 | |
Not Available |
Full Name | Mayra Ruvalcaba Gomez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1120 W La Veta Ave Ste 660, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558762351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW87570 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Mayra Ruvalcaba Gomez, LCSW 1120 W La Veta Ave Ste 660, Orange, CA 92868-4244 Ph: (714) 583-6810 | Mayra Ruvalcaba Gomez, LCSW 1120 W La Veta Ave Ste 660, Orange, CA 92868-4244 Ph: (714) 296-6921 |
Melinda Jane Berge Echeverria, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1855 W Katella Ave Ste 150, Orange, CA 92867 Phone: 714-399-3480 | |
Shannon Leigh Nichols, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7317 E Morninglory Way, Orange, CA 92869 Phone: 714-309-1156 | |
Ms. Martha Alena Hughes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 W La Veta Ave Unit O20, Orange, CA 92868 Phone: 714-394-3579 Fax: 714-394-3579 | |
Geraldine Date, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5523 Fax: 714-456-2890 | |
Eunice Young Kim, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1120 W La Veta Ave Ste 660, Orange, CA 92868 Phone: 657-251-7500 | |
Ms. Mala Leao, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2440 E. Vanowen Ave., Orange, CA 92867 Phone: 714-651-0582 | |
Michelle Marie Zare, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W Town And Country Rd Ste 1250, Orange, CA 92868 Phone: 657-339-2799 |