Vanessa Garcia, | |
12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 | |
(818) 896-1161 | |
(818) 896-5069 |
Full Name | Vanessa Garcia |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12450 Van Nuys Blvd Ste 200, Pacoima, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932566346 | NPI | - | NPPES |
6758 | Medicaid | CA | |
7068 | Medicaid | CA | |
7420 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 81520 (California) | Primary |
Entity Name | Mood Clinical, P. C. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640 |
Mailing Address | Practice Location Address |
---|---|
Vanessa Garcia, 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 Ph: (818) 896-1161 | Vanessa Garcia, 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 Ph: (818) 896-1161 |
Valentina Usubyan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 | |
Elena Karenev, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-897-5074 | |
Nadine Linares, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11643 Glenoaks Blvd, Pacoima, CA 91331 Phone: 818-897-2609 Fax: 818-890-7159 | |
Miss Nina Marie Solis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 | |
Mr. Arash S Pazooki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 | |
Madeleine Marie Seeley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11643 Glenoaks Blvd, Pacoima, CA 91331 Phone: 818-897-2609 | |
Wayne Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 |