Jazmine Abigail Rebollo, is a
Social Worker based in Ontario, California. Jazmine Abigail Rebollo is licensed to practice in California (license number ASW123765) and her current practice location is
2940 Inland Empire Blvd, Ontario, California. She can be reached at her office (for appointments etc.) via phone at
(909) 458-1350.
NPI number for Jazmine Abigail Rebollo is 1700564671 and her current mailing address is 7117 Gabriel Dr, Fontana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700564671.
Healthcare Provider's Profile
| Full Name | Jazmine Abigail Rebollo |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2940 Inland Empire Blvd, Ontario, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700564671
- Provider Enumeration Date: 07/10/2023
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Jazmine Abigail Rebollo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700564671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW123765 (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. Jazmine Abigail Rebollo 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 |
|---|
Jazmine Abigail Rebollo,
7117 Gabriel Dr,
Fontana, CA 92336-5764
Ph: (909) 809-9727 | Jazmine Abigail Rebollo,
2940 Inland Empire Blvd,
Ontario, CA 91764-4898
Ph: (909) 458-1350 |
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