Genesis Berenice Gomez-tello, is a
Social Worker based in Los Angeles, California. Genesis Berenice Gomez-tello is licensed to practice in California (license number 112321) and her current practice location is
4211 Avalon Blvd, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 233-0425.
NPI number for Genesis Berenice Gomez-tello is 1528526845 and her current mailing address is 4211 Avalon Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528526845.
Healthcare Provider's Profile
Full Name | Genesis Berenice Gomez-tello |
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Gender | Female |
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Speciality | Social Worker |
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Location | 4211 Avalon Blvd, 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: 1528526845
- Provider Enumeration Date: 03/05/2019
- Last Update Date: 12/01/2022
Medical Identifiers
Medical identifiers for Genesis Berenice Gomez-tello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528526845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 87605 (California) | Secondary |
104100000X | Social Worker | 87605 (California) | Secondary |
104100000X | Social Worker | 112321 (California) | 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. Genesis Berenice Gomez-tello 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 |
Genesis Berenice Gomez-tello, 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 233-0425 | Genesis Berenice Gomez-tello, 4211 Avalon Blvd, Los Angeles, CA 90011-5622 Ph: (323) 233-0425 |
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