Cheryl L Bagan, is a
Rehabilitation Practitioner based in Los Angeles, California. Cheryl L Bagan is licensed to practice in * (Not Available) (license number ) and her current practice location is
4240 W 62nd St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 290-2540.
NPI number for Cheryl L Bagan is 1114594694 and her current mailing address is 5757 W Century Blvd Ste 303, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114594694.
Healthcare Provider's Profile
| Full Name | Cheryl L Bagan |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 4240 W 62nd St, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114594694
- Provider Enumeration Date: 06/04/2021
- Last Update Date: 09/15/2021
Medical Identifiers
Medical identifiers for Cheryl L Bagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114594694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheryl L Bagan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cheryl L Bagan,
5757 W Century Blvd Ste 303,
Los Angeles, CA 90045-6409
Ph: (323) 290-2540 | Cheryl L Bagan,
4240 W 62nd St,
Los Angeles, CA 90043-3615
Ph: (323) 290-2540 |
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