Mrs Ada Isabel Reveles, | |
6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 | |
(714) 736-0231 | |
(714) 736-0895 |
Full Name | Mrs Ada Isabel Reveles |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6301 Beach Blvd, Buena Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619021235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Soultenders Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ada Isabel Reveles, 6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 Ph: (714) 736-0231 | Mrs Ada Isabel Reveles, 6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 Ph: (714) 736-0231 |
Susan Soojin Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7212 Orangethorpe Ave Ste 8, Buena Park, CA 90621 Phone: 714-449-1125 | |
Jesse Steven Nova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8833 Academy Dr, Buena Park, CA 90621 Phone: 818-675-1009 | |
Kwang Ho Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7212 Orangethorpe Ave, Buena Park, CA 90621 Phone: 714-449-1125 | |
Adrian Lopez, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 6631 Kingman Avenue, 3, Buena Park, CA 90621 Phone: 714-210-9799 | |
Adam J Lane, LAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8633 Knott Ave, Buena Park, CA 90620 Phone: 714-527-6561 | |
Carolina Estrada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6065 La Canada Cir, Buena Park, CA 90620 Phone: 562-324-7639 Fax: 714-992-5475 | |
Mr. Kenneth Leroy Minnick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7212 Orangethorpe Ave, Buena Park, CA 90621 Phone: 714-449-1125 Fax: 714-562-8729 |