Miss Evelyn Lizet Perez, LCSW | |
2450 S Atlantic Blvd Ste 101, Commerce, CA 90040-1200 | |
(323) 318-9960 | |
(323) 780-3211 |
Full Name | Miss Evelyn Lizet Perez |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2450 S Atlantic Blvd Ste 101, Commerce, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932239357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | ASW 19945 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 27175 (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 |
---|---|
Miss Evelyn Lizet Perez, LCSW 10002 Ben Hur Ave Apt B, Whittier, CA 90605-3171 Ph: (323) 270-9402 | Miss Evelyn Lizet Perez, LCSW 2450 S Atlantic Blvd Ste 101, Commerce, CA 90040-1200 Ph: (323) 318-9960 |
Mrs. Diana Rose Ure, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1436 Goodrich Blvd, Commerce, CA 90022 Phone: 323-725-1337 Fax: 323-278-5344 | |
Rosio Rocha, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5800 S Eastern Ave Ste 500, Commerce, CA 90040 Phone: 562-253-8157 | |
Ms. Edith Maria Hurtado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 323-318-9960 Fax: 323-780-3211 | |
Ms. Susana Montanez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5835 S Eastern Ave, Commerce, CA 90040 Phone: 323-243-4629 | |
Maria L. Salgado, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5835 S Eastern Ave Ste 2, Commerce, CA 90040 Phone: 213-925-5555 | |
Mr. Javier Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5400 E Olympic Blvd, Commerce, CA 90022 Phone: 323-543-2800 | |
Summer Davidson Gomez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 818-588-1583 |