Dianne E Chavez Granillo, COUNSELOR is a
Case Manager/care Coordinator based in Los Angeles, California. Dianne E Chavez Granillo is licensed to practice in * (Not Available) (license number ) and her current practice location is
6108 Afton Pl, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 461-4118.
NPI number for Dianne E Chavez Granillo is 1699005728 and her current mailing address is 1911 W 156th St Spc 50, Compton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699005728.
Healthcare Provider's Profile
| Full Name | Dianne E Chavez Granillo |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 6108 Afton Pl, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699005728
- Provider Enumeration Date: 01/13/2010
- Last Update Date: 07/01/2024
Medical Identifiers
Medical identifiers for Dianne E Chavez Granillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699005728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 071636 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (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. Dianne E Chavez Granillo 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 |
|---|
Dianne E Chavez Granillo, COUNSELOR
1911 W 156th St Spc 50,
Compton, CA 90220-3541
Ph: (562) 206-6148 | Dianne E Chavez Granillo, COUNSELOR
6108 Afton Pl,
Los Angeles, CA 90028-8370
Ph: (323) 461-4118 |
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