Jaclyn Marie Padilla, | |
5400 E Olympic Blvd Fl 1, Commerce, CA 90022-5147 | |
(323) 869-9255 | |
Not Available |
Full Name | Jaclyn Marie Padilla |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 5400 E Olympic Blvd Fl 1, Commerce, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558719799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT131241 (California) | Primary |
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
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Jaclyn Marie Padilla, Po Box 2931, West Covina, CA 91793-2931 Ph: (323) 384-2388 | Jaclyn Marie Padilla, 5400 E Olympic Blvd Fl 1, Commerce, CA 90022-5147 Ph: (323) 869-9255 |
Thomas Young, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795 | |
Michaela Harris, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795 | |
Mr. Alberto Valenzuela, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5400 E Olympic Blvd Fl 1, Commerce, CA 90022 Phone: 323-869-9255 | |
Arsen Muradyan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1011 Goodrich Blvd, Commerce, CA 90022 Phone: 323-888-9191 | |
Ms. Lydia Romero Eldridge, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 Goodrich Blvd, Commerce, CA 90022 Phone: 323-832-9795 | |
Andrea Cruz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5628 E Slauson Ave, Commerce, CA 90040 Phone: 323-318-9960 Fax: 323-780-3211 | |
Ms. Sheri Lynn Tripp, M.S. MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2450 South Atlantic Blvd., Commerce, CA 90040 Phone: 323-318-9960 Fax: 323-780-3211 |