Mahtab Maya Rouhi, | |
145 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360-5897 | |
(855) 701-7955 | |
Not Available |
Full Name | Mahtab Maya Rouhi |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 145 Hodencamp Rd Ste 100, Thousand Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891074977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
---|---|
Mahtab Maya Rouhi, 12821 Victory Blvd, North Hollywood, CA 91606-3012 Ph: () - | Mahtab Maya Rouhi, 145 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360-5897 Ph: (855) 701-7955 |
Denise Willis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-300-7084 | |
Genesis Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-870-4345 | |
Michael Lombardo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St, Thousand Oaks, CA 91360 Phone: 805-413-0350 | |
Allyson Hiji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 Marin St Ste 135, Thousand Oaks, CA 91360 Phone: 805-379-4000 | |
Kim Braget, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-661-9492 | |
Kasey Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Erten St, Thousand Oaks, CA 91360 Phone: 805-661-9492 | |
Diana Grant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Marin St, Thousand Oaks, CA 91360 Phone: 240-437-2884 |