Mrs Jena Barbara Montenegro, | |
499 Loma Alta Ave, Los Gatos, CA 95030-6227 | |
(408) 379-3790 | |
Not Available |
Full Name | Mrs Jena Barbara Montenegro |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 499 Loma Alta Ave, Los Gatos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659808590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (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 |
---|---|
Mrs Jena Barbara Montenegro, 499 Loma Alta Ave, Los Gatos, CA 95030-6227 Ph: (408) 379-3790 | Mrs Jena Barbara Montenegro, 499 Loma Alta Ave, Los Gatos, CA 95030-6227 Ph: (408) 379-3790 |
Cesar Maximilian Salazar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Loma Alta Ave, Los Gatos, CA 95030 Phone: 408-354-2933 | |
Mariana Rosas, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Loma Alta Ave, Los Gatos, CA 95030 Phone: 408-335-1826 | |
Melissa Burnidge Gould, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16579 Los Gatos Almaden Road, Los Gatos, CA 95032 Phone: 408-384-9084 | |
Lara Jeanne Willing, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15466 Los Gatos Blvd Ste 109-241, Los Gatos, CA 95032 Phone: 408-221-7610 | |
Mr. Brandon Phillip Schroeder, Counselor Medicare: Medicare Enrolled Practice Location: 499 Loma Alta Avenue, Los Gatos, CA 95030 Phone: 408-364-4157 | |
Jasmine Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Loma Alta Ave, Los Gatos, CA 95030 Phone: 669-282-2811 | |
Kristin Wyatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Loma Alta Avenue, Los Gatos, CA 95030 Phone: 408-876-4107 |