Mr Skylar Scott Valles, LCSW | |
17215 Studebaker Rd Ste 110, Cerritos, CA 90703-2521 | |
(714) 932-6201 | |
Not Available |
Full Name | Mr Skylar Scott Valles |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 17215 Studebaker Rd Ste 110, Cerritos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033694237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 100714 (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 Skylar Scott Valles, LCSW 10641 Teal Dr, Garden Grove, CA 92843-3333 Ph: (714) 932-6201 | Mr Skylar Scott Valles, LCSW 17215 Studebaker Rd Ste 110, Cerritos, CA 90703-2521 Ph: (714) 932-6201 |
Mr. Michael John Tyoran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-403-0381 | |
Mrs. Alisa C. Gibney, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 208b, Cerritos, CA 90703 Phone: 562-924-5526 Fax: 562-924-1040 | |
Sierra Hartsfield, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr, Cerritos, CA 90703 Phone: 562-467-5438 | |
Melissa Lee Finnegan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-402-0688 Fax: 562-381-9761 | |
Mrs. Leticia Guzman-soydan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-402-0688 | |
Miss Tracy Pauline Schmidt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 214b, Cerritos, CA 90703 Phone: 562-865-6444 Fax: 562-865-5864 |