Eunice Dolores Fuentes, | |
4623 Lennox Blvd, Inglewood, CA 90304-2215 | |
(310) 850-4623 | |
Not Available |
Full Name | Eunice Dolores Fuentes |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4623 Lennox Blvd, Inglewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366000226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (California) | Primary |
Entity Name | Lumen Health And Psychological Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366978843 PECOS PAC ID: 5799012266 Enrollment ID: O20190806002444 |
Mailing Address | Practice Location Address |
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Eunice Dolores Fuentes, 4623 Lennox Blvd, Inglewood, CA 90304-2215 Ph: (310) 850-4623 | Eunice Dolores Fuentes, 4623 Lennox Blvd, Inglewood, CA 90304-2215 Ph: (310) 850-4623 |
Mr. Benjamin Nkiru Okolo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 N Prairie Ave Ste 315, Inglewood, CA 90301 Phone: 310-673-4117 Fax: 310-673-4118 | |
Armando Javier Rivera Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Myrtle Ave, Inglewood, CA 90301 Phone: 310-412-4191 Fax: 310-412-3942 | |
Rika Yamada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 N Prairie Ave, Suite 612, Inglewood, CA 90301 Phone: 310-673-8402 Fax: 310-673-8407 | |
James Finley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11706 Crenshaw Blvd Apt 4, Inglewood, CA 90303 Phone: 310-462-0791 | |
George Abraham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 W Manchester Blvd, Inglewood, CA 90301 Phone: 909-645-1536 | |
Iris Palacios, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 W Manchester Blvd Ste A, Inglewood, CA 90301 Phone: 310-672-3820 Fax: 310-672-3822 | |
Mr. Peter Singleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2930 W Imperial Hwy, Inglewood, CA 90303 Phone: 323-754-2989 |