Robert H Kolts, LCSW | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 325-5111 | |
(626) 405-6768 |
Full Name | Robert H Kolts |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962609230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LSC18721 (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 |
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Robert H Kolts, LCSW 393 E Walnut St, 3rd Floor - Phr Systems, Pasadena, CA 91188-0001 Ph: (626) 405-7914 | Robert H Kolts, LCSW 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 |
Mrs. Julianne Flores Lucia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1403 Lomita Blvd Fl 2, Harbor City, CA 90710 Phone: 310-602-2577 | |
Mrs. Dorothy Jean Ratliff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26143 Frampton Ave, #c, Harbor City, CA 90710 Phone: 310-325-2587 | |
Latrice Mitchell, PSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Andrea Angelica Tanori, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 424-251-7791 | |
Carlos C Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 Fax: 626-405-6768 | |
Johanna Natalie Perez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1403 Lomita Blvd, Harbor City, CA 90710 Phone: 213-514-0073 | |
Ms. Christine Chi Nguyen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25975 Normandie Ave, Harbor City, CA 90710 Phone: 424-251-7791 |