Mrs Uche Phyllis Asiodu, LCSW | |
11234 Anderson St, Loma Linda, CA 92354-2804 | |
(909) 558-4000 | |
Not Available |
Full Name | Mrs Uche Phyllis Asiodu |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285078790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 65549 (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 |
---|---|
Mrs Uche Phyllis Asiodu, LCSW 1336 Bridgegate Dr, Diamond Bar, CA 91765-3955 Ph: (909) 558-4000 | Mrs Uche Phyllis Asiodu, LCSW 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 |
Raychelle Harper Addo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, Loma Linda, CA 92357 Phone: 951-398-8410 | |
Phillip Parra, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton St., Social Work Department, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Angela Taninies, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 098-257-0849 | |
Stephanie Harper, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, C/o Main Hospital, Mailing Code 116-a, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Mr. William James Sackett, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Ms. Lynda L Wilgus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-422-3186 | |
Ms. Angela Karen Tremmel, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-422-3186 |