| Inna Phoenix Gore, | |
|
19231 Victory Blvd, 554, Reseda, CA 91335-6308 | |
| (818) 776-1755 | |
| Not Available |
| Full Name | Inna Phoenix Gore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 19231 Victory Blvd, Reseda, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316273196 | NPI | - | NPPES |
| CMM70956F | Medicaid | CA | |
| 19685600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Inna Phoenix Gore, 18930 Sherman Way, 17, Reseda, CA 91335-7738 Ph: (323) 633-8610 | Inna Phoenix Gore, 19231 Victory Blvd, 554, Reseda, CA 91335-6308 Ph: (818) 776-1755 |
Adriana Ayon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 Fax: 818-975-5008 | |
Ms. Sana Khouri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd Ste 110, Reseda, CA 91335 Phone: 818-708-4500 | |
Mohammad Farrokh Emad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Camby St, Reseda, CA 91335 Phone: 818-705-5561 | |
Vanessa Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 | |
Yelena Staseyeva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 | |
Sam Pow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 Fax: 818-975-5008 | |
Ms. Lynne Patricia Hostein, M.A., L.M.F.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6642 Reseda Blvd, Reseda, CA 91335 Phone: 818-800-7284 Fax: 818-776-8903 |