Mayra Lorenzo, | |
9650 Zelzah Ave, Northridge, CA 91325-2003 | |
(818) 993-9311 | |
Not Available |
Full Name | Mayra Lorenzo |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 9650 Zelzah Ave, Northridge, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053445098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT 50294 (* (Not Available)) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Mayra Lorenzo, 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: () - | Mayra Lorenzo, 9650 Zelzah Ave, Northridge, CA 91325-2003 Ph: (818) 993-9311 |
Carla Barclay Rizk, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Mrs. Ann Wagner Dimock, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9659 Balboa Blvd, Northridge, CA 91325 Phone: 818-349-1401 Fax: 818-988-5474 | |
Lesley Sears, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11145 Tampa Ave Ste 23a, Northridge, CA 91326 Phone: 805-587-3956 | |
Katherine Brookner, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Janet Elizabeth Pinneau, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9003 Reseda Blvd, #208, Northridge, CA 91324 Phone: 818-885-8932 | |
Martha Rodriguez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 |