Gloria Holguin, | |
1160 South Grand Ave., Glendora, CA 91740-5000 | |
(626) 335-5980 | |
(626) 335-5989 |
Full Name | Gloria Holguin |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1160 South Grand Ave., Glendora, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730469735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Gloria Holguin, 17146 E. Renwick Rd., Azusa, CA 91702 Ph: (323) 702-2694 | Gloria Holguin, 1160 South Grand Ave., Glendora, CA 91740-5000 Ph: (626) 335-5980 |
Janine Esparza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Sunflower Ave, Glendora, CA 91740 Phone: 626-335-8153 Fax: 626-963-0028 | |
Mrs. Linda M Miles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 | |
Mrs. Elsa Yolanda Willard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 | |
Mrs. Jacqueline Cara Plante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 | |
Kelly Miltenberger, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 537 N Pennsylvania Ave, Glendora, CA 91741 Phone: 626-833-7752 | |
Priscilla Esther Sosa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 | |
Carolina Perez, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1160 S Grand Ave, Glendora, CA 91740 Phone: 626-335-5980 |