Antoinette Shuler, | |
1627 S Hargrave St, Banning, CA 92220-6169 | |
(951) 922-7612 | |
Not Available |
Full Name | Antoinette Shuler |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1627 S Hargrave St, Banning, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396108924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Antoinette Shuler, 1627 S Hargrave St, Banning, CA 92220-6169 Ph: (951) 922-7612 | Antoinette Shuler, 1627 S Hargrave St, Banning, CA 92220-6169 Ph: (951) 922-7612 |
Kelli Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 W Hoffer St, Banning, CA 92220 Phone: 951-922-0356 | |
Emily Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 W Hoffer St, Banning, CA 92220 Phone: 951-922-0356 | |
Robin Scott, LVN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2781 W Ramsey St, Banning, CA 92220 Phone: 909-501-5167 | |
Erik Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1627 S Hargrave St, Banning, CA 92220 Phone: 951-922-7300 | |
Trafton Seratt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1330 W Ramsey St, Banning, CA 92220 Phone: 951-922-7479 | |
Geoffrey Elton James Mosher, AMFT, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E Williams St Ste 102, Banning, CA 92220 Phone: 951-588-2553 | |
Jasmin Hernandez, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 11555 1/2 Potrero Rd, Banning, CA 92220 Phone: 951-849-4761 |