Geisha Lopez Leon, | |
1965 Live Oak Blvd, Yuba City, CA 95991-8850 | |
(530) 674-1885 | |
Not Available |
Full Name | Geisha Lopez Leon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1965 Live Oak Blvd, Yuba City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215481916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Geisha Lopez Leon, 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 674-1885 | Geisha Lopez Leon, 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 674-1885 |
Cristina Jones, OT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 Williams Way, Yuba City, CA 95991 Phone: 530-790-3000 | |
Rainbow Theresa Crane, MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-673-8255 Fax: 530-751-2871 | |
Alina Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7200 | |
Marilynn De Board, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Stafford Way Ste G, Yuba City, CA 95991 Phone: 530-434-6318 | |
Miss Heather Bennethum, MENTAL HEALTH WORKER Counselor Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7209 | |
Ms. Kellie Lor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Plumas St, Yuba City, CA 95991 Phone: 530-822-7478 | |
Carol Raju, LPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7200 Fax: 530-822-7108 |