Gina Rene Stephenson, | |
879 W 190th St Ste 300, Gardena, CA 90248-4223 | |
(310) 323-6887 | |
(310) 436-8285 |
Full Name | Gina Rene Stephenson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 879 W 190th St Ste 300, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275783052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Special Service For Groups |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952442949 PECOS PAC ID: 2769396886 Enrollment ID: O20031113000561 |
Mailing Address | Practice Location Address |
---|---|
Gina Rene Stephenson, 879 W 190th St Ste 300, Gardena, CA 90248-4223 Ph: (310) 323-6887 | Gina Rene Stephenson, 879 W 190th St Ste 300, Gardena, CA 90248-4223 Ph: (310) 323-6887 |
Mrs. Iva Svetlikova, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 Fax: 310-660-0494 | |
Mrs. Sayo Matsuda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 424-757-4226 | |
Mr. Khai Hoang Nguyen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Ms. Manuela Christine Siriaco, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Edward Albert Del Hierro, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Aaliyah Austin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 15515 S Vermont Ave, Gardena, CA 90247 Phone: 310-997-6082 | |
Marissa Greenberg, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3333 W 152nd St, Gardena, CA 90249 Phone: 646-568-0047 |