| Ruby Banuelos Calhoun, LCSW | |
| 
					253 S Diamond Bar Blvd, Diamond Bar, CA 91765-1606  | |
| (909) 396-7025 | |
| Not Available | 
| Full Name | Ruby Banuelos Calhoun | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 253 S Diamond Bar Blvd, Diamond Bar, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902379985 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 75258 (California) | Primary | 
| Entity Name | Providence Medical Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ruby Banuelos Calhoun, LCSW 253 S Diamond Bar Blvd, Diamond Bar, CA 91765-1606 Ph: (909) 396-7025  | Ruby Banuelos Calhoun, LCSW 253 S Diamond Bar Blvd, Diamond Bar, CA 91765-1606 Ph: (909) 396-7025  | 
Giovanna Carbajal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 Red Cloud Dr, Diamond Bar, CA 91765 Phone: 909-636-8705  | |
Hyeyoung Jung, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3333 S Brea Canyon Rd, Ste 107, Diamond Bar, CA 91765 Phone: 323-823-8563  | |
Mrs. Uche Phyllis Asiodu, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1336 Bridgegate Dr, Diamond Bar, CA 91765 Phone: 909-486-5591  | |
Jessica Chung Mac, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 253 S Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-860-1144  | |
Marisa Cynthia Martinez,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23425 Coyote Springs Dr, Diamond Bar, CA 91765 Phone: 626-375-1381  | |
Mrs. May Fong-chang, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1370 Valley Vista Dr Ste 104, Diamond Bar, CA 91765 Phone: 909-860-2166 Fax: 909-860-5424  | |
Jane Poon,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 911 Longview Dr, Diamond Bar, CA 91765 Phone: 626-823-2257  |