Mr Domonick K Green, LMFT | |
1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | |
(310) 221-6336 | |
Not Available |
Full Name | Mr Domonick K Green |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1501 Hughes Way Ste 150, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437609047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 118824 (California) | Primary |
Entity Name | Native American Mental Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073919171 PECOS PAC ID: 5395072490 Enrollment ID: O20190813000872 |
Mailing Address | Practice Location Address |
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Mr Domonick K Green, LMFT 1601 N Sepulveda Blvd # 521, Manhattan Beach, CA 90266-5111 Ph: (310) 940-6312 | Mr Domonick K Green, LMFT 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 Ph: (310) 221-6336 |
Domonique Hualani Rood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4151 E Fountain St, Long Beach, CA 90804 Phone: 562-719-9250 Fax: 562-719-9257 | |
Ms. Maria Fernanda Perez-rios, MASTERS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 | |
Daniel Crosby, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pch Ste 100, Long Beach, CA 90804 Phone: 562-490-7600 Fax: 562-490-7601 | |
Ivannia Fuentes, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804 Phone: 562-490-7600 Fax: 562-490-7601 | |
Corrine Julia Limas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804 Phone: 562-365-2020 | |
Alejandro Ramirez, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 | |
Ms. Idalia Razo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807 Phone: 562-485-3038 Fax: 562-981-7569 |