Mrs Carol Mun King Chan-lau, | |
2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 | |
(408) 975-2730 | |
(408) 975-2745 |
Full Name | Mrs Carol Mun King Chan-lau |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2400 Moorpark Ave Ste 300, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497895742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MFC 28323 (California) | 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 |
---|---|
Mrs Carol Mun King Chan-lau, 2400 Moorpark Ave. Suite 300, San Jose, CA 94087 Ph: (408) 975-2730 | Mrs Carol Mun King Chan-lau, 2400 Moorpark Ave Ste 300, San Jose, CA 95128-2680 Ph: (408) 975-2730 |
Mr. Charles Alfonzo Castor-thomas Viii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2221 Enborg Ln, San Jose, CA 95128 Phone: 408-885-3227 Fax: 408-885-2063 | |
Mr. Douglas Martin Hames, RAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1281 Fleming Ave, San Jose, CA 95127 Phone: 408-259-6565 | |
Mei Wu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 Cedarville Ln, San Jose, CA 95133 Phone: 408-307-2553 | |
Miss Stephanie Pedro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Tully Rd, Suite 304, San Jose, CA 95122 Phone: 408-271-3900 Fax: 408-271-3909 | |
Meaghan Barisone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Parkmoor Ave, San Jose, CA 95128 Phone: 408-282-0402 Fax: 408-282-0400 | |
Danelle L Gilmore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Race St, San Jose, CA 95126 Phone: 408-971-9822 Fax: 408-971-9820 | |
Ms. Efstathia Perivoliotis, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N Market St # 950, San Jose, CA 95113 Phone: 408-872-9402 |