Maribel Vargas, | |
1149 N El Dorado St, Stockton, CA 95202-1305 | |
(209) 468-2335 | |
Not Available |
Full Name | Maribel Vargas |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1149 N El Dorado St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821247149 | NPI | - | NPPES |
D1392978 | Other | CA | DRIVERS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Maribel Vargas, 1305 Tommydon St, Stockton, CA 95210-3364 Ph: (209) 479-3314 | Maribel Vargas, 1149 N El Dorado St, Stockton, CA 95202-1305 Ph: (209) 468-2335 |
Van Thi Le, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4422 N Pershing Ave Ste D5, Stockton, CA 95207 Phone: 209-953-8843 Fax: 209-953-8478 | |
Mariaelena Garcia Vasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1149 N El Dorado St, Stockton, CA 95202 Phone: 209-468-2335 | |
Ms. Maria Rodriguez, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Suite 125, Stockton, CA 95207 Phone: 209-465-1080 | |
Shadeed Hasan Ii, Counselor Medicare: Medicare Enrolled Practice Location: 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207 Phone: 877-418-2978 | |
Priscilla Ellis-white, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8626 Lower Sacramento Rd, Suite #41, Stockton, CA 95210 Phone: 209-478-2487 Fax: 209-478-1476 | |
Mr. Kenneth Ray Cocio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8660 | |
April Cobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 W. March Lane Suite 125, Stockton, CA 95207 Phone: 209-465-1080 |