Nelly Marjorie Pino, | |
4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 | |
(510) 262-6551 | |
Not Available |
Full Name | Nelly Marjorie Pino |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4175 Lakeside Dr Ste 110, Richmond, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497972400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (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 |
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Nelly Marjorie Pino, 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 Ph: () - | Nelly Marjorie Pino, 4175 Lakeside Dr Ste 110, Richmond, CA 94806-1950 Ph: (510) 262-6551 |
Oliver Maurice Henderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 23rd St, Richmond, CA 94804 Phone: 510-229-5000 Fax: 510-235-3112 | |
Layne Courtney Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 37th St, Richmond, CA 94805 Phone: 510-233-7555 | |
Kalyani Akula, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Richmond Pkwy Ste 201, Richmond, CA 94806 Phone: 510-778-2816 | |
Chomsanith Phouangkeo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Macdonald Ave, Richmond, CA 94805 Phone: 510-233-7555 Fax: 510-233-4545 | |
Nicole Vanessa Valentino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 41st St, Richmond, CA 94805 Phone: 510-374-7392 | |
Jodi Louise Reiter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Bissell Ave, Richmond, CA 94804 Phone: 510-235-1516 | |
Juan Jose Bolanos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12960 San Pablo Ave, Richmond, CA 94805 Phone: 510-215-2280 Fax: 510-215-2283 |