Shawna Hogan, | |
3200 Motor Ave, Los Angeles, CA 90034-3710 | |
(310) 843-1223 | |
Not Available |
Full Name | Shawna Hogan |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 22 Years |
Location | 3200 Motor Ave, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467578773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | ASW14500 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific Blue Psychological Services | 3678908357 | 10 |
Entity Name | Pacific Blue Psychological Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124678719 PECOS PAC ID: 3678908357 Enrollment ID: O20200129000198 |
Mailing Address | Practice Location Address |
---|---|
Shawna Hogan, 3200 Motor Ave, Los Angeles, CA 90034-3710 Ph: () - | Shawna Hogan, 3200 Motor Ave, Los Angeles, CA 90034-3710 Ph: (310) 843-1223 |
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