Mr Justin Alvin Cheng, | |
275 Baker St Ste A, Costa Mesa, CA 92626-4566 | |
(714) 361-6760 | |
Not Available |
Full Name | Mr Justin Alvin Cheng |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 275 Baker St Ste A, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366792442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 78822 (California) | Primary |
Entity Name | Telecare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167 |
Mailing Address | Practice Location Address |
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Mr Justin Alvin Cheng, 275 Baker St Ste A, Costa Mesa, CA 92626-4566 Ph: (714) 361-6760 | Mr Justin Alvin Cheng, 275 Baker St Ste A, Costa Mesa, CA 92626-4566 Ph: (714) 361-6760 |
Joseph Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 16th Pl Apt C, Costa Mesa, CA 92627 Phone: 949-566-5222 | |
Shelley Beckham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 271 Mesa Dr, Costa Mesa, CA 92627 Phone: 949-422-1882 Fax: 949-548-2303 | |
Brian Jacobo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Jeremy Quang Le, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734 | |
Lizeth Dimas Sebastian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 Bristol St, Costa Mesa, CA 92626 Phone: 714-850-8408 | |
Kelleen Carrie Stainer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Anton Blvd Ste 150, Costa Mesa, CA 92626 Phone: 949-204-0011 | |
Grace Tsai, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 S Coast Dr Ste 260, Costa Mesa, CA 92626 Phone: 714-907-2318 |