Nancy Jeanette Lum, LCSW | |
14241 Firestone Blvd Ste 400, La Mirada, CA 90638-5534 | |
(714) 494-6710 | |
Not Available |
Full Name | Nancy Jeanette Lum |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 14241 Firestone Blvd Ste 400, La Mirada, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184929945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LCSW76823 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Nancy Jeanette Lum, LCSW 2375 E Imperial Hwy # 1019, Brea, CA 92821-6112 Ph: (714) 494-6710 | Nancy Jeanette Lum, LCSW 14241 Firestone Blvd Ste 400, La Mirada, CA 90638-5534 Ph: (714) 494-6710 |
Mr. Cecil Edwards, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14241 Firestone Blvd Ste 400, La Mirada, CA 90638 Phone: 714-865-1647 | |
Mrs. Terry Ann Garcia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12627 Santa Gertrudes Ave, Ste B, La Mirada, CA 90638 Phone: 714-905-2669 Fax: 562-947-8839 | |
Marilyn J. Milligan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12675 La Mirrada Blvd., Suite 419, La Mirada, CA 90638 Phone: 562-906-8832 Fax: 562-906-8852 | |
Mrs. Allison Marie Buck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14942 Weeks Dr, La Mirada, CA 90638 Phone: 562-857-3290 | |
Heather Tetiva Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15325 Santa Gertrudes Ave Unit 202, La Mirada, CA 90638 Phone: 714-815-8711 | |
Mr. Rafael Enrico Victoria, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15050 Imperial Hwy, La Mirada, CA 90638 Phone: 562-698-0811 |