Ruby Banuelos Calhoun, LCSW | |
253 S Diamond Bar Blvd, Diamond Bar, CA 91765-1606 | |
(909) 396-7025 | |
Not Available |
Full Name | Ruby Banuelos Calhoun |
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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 |
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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 |
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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: Not Enrolled in Medicare Practice Location: 3333 S Brea Canyon Rd, Ste 107, Diamond Bar, CA 91765 Phone: 323-823-8563 | |
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 | |
Lorena Moreno, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1336 Bridgegate Dr, Diamond Bar, CA 91765 Phone: 626-960-4844 | |
Oscar Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21660 Copley Dr, Suite 350, Diamond Bar, CA 91765 Phone: 626-773-3300 |