Mrs Genoveva Maria Avalos-mireles, MSW LCSW | |
9628 Campo Rd, Suite T, Spring Valley, CA 91977-1245 | |
(619) 818-6533 | |
(187) 782-5946 |
Full Name | Mrs Genoveva Maria Avalos-mireles |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 9628 Campo Rd, Spring Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356486054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW 21116 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Mrs Genoveva Maria Avalos-mireles, MSW LCSW Po Box 2045, Spring Valley, CA 91979-2045 Ph: (619) 818-6533 | Mrs Genoveva Maria Avalos-mireles, MSW LCSW 9628 Campo Rd, Suite T, Spring Valley, CA 91977-1245 Ph: (619) 818-6533 |
Virginia Zarinebaf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3845 Spring Dr, Spring Valley, CA 91977 Phone: 510-694-0092 | |
Ayzha Hampton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3602 Kenora Dr, Spring Valley, CA 91977 Phone: 619-467-7412 Fax: 619-467-7413 | |
Belinda G Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2315 Bar Bit Rd, Spring Valley, CA 91978 Phone: 619-337-3830 | |
Latoya Facey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3602 Kenora Dr, Spring Valley, CA 91977 Phone: 619-463-8875 | |
Alandra R Devera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2315 Bar Bit Rd, Spring Valley, CA 91978 Phone: 619-484-6759 | |
Edgar Meza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10707 Jamacha Blvd, Spring Valley, CA 91978 Phone: 619-249-3167 | |
Amanda Vann, IMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 3845 Spring Dr, Spring Valley, CA 91977 Phone: 619-797-1090 Fax: 619-797-1091 |