Ms Paloma Del Carmen Bautista, | |
1666 N Main St Ste 400, Santa Ana, CA 92701-7417 | |
(714) 704-5900 | |
Not Available |
Full Name | Ms Paloma Del Carmen Bautista |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1666 N Main St Ste 400, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053747279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 88602 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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 |
---|---|
Ms Paloma Del Carmen Bautista, 2436 Littleton Pl, Costa Mesa, CA 92626-6322 Ph: (949) 306-7161 | Ms Paloma Del Carmen Bautista, 1666 N Main St Ste 400, Santa Ana, CA 92701-7417 Ph: (714) 704-5900 |
Claudia Naxhielli Flores, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701 Phone: 714-953-4455 | |
Vielka Pamerleau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701 Phone: 714-953-4455 | |
Amber Khan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 Park Court Pl Bldg H, Santa Ana, CA 92701 Phone: 714-957-1004 | |
Michelle Elaine Glinski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Santa Ana Blvd Ste 100, Santa Ana, CA 92701 Phone: 714-480-4637 | |
Mayra Alejandra Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 W Warner Ave, Santa Ana, CA 92707 Phone: 714-957-0611 | |
Lynn M Kleist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3631 S Harbor Blvd Ste 200, Santa Ana, CA 92704 Phone: 657-356-6687 Fax: 657-356-6290 | |
Sandra S Rosen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 W 5th St, Suite 550, Santa Ana, CA 92701 Phone: 714-834-4707 |