Mr Guillermo A Regalado, MFT | |
23621 Main St, Carson, CA 90745-5743 | |
(310) 816-5356 | |
Not Available |
Full Name | Mr Guillermo A Regalado |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 23621 Main St, Carson, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467653485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 39061 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Mr Guillermo A Regalado, MFT 2228 Stonewood Ct, San Pedro, CA 90732-1337 Ph: (310) 251-5516 | Mr Guillermo A Regalado, MFT 23621 Main St, Carson, CA 90745-5743 Ph: (310) 816-5356 |
Claudia Monet Marin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 649 E Albertoni St Ste 100, Carson, CA 90746 Phone: 310-436-9300 | |
Samuel A Campbell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 649 E Albertoni St, Carson, CA 90746 Phone: 310-436-9300 | |
Ms. Laura Green Griffin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23621 Main St, Carson, CA 90745 Phone: 310-816-5361 | |
Lanisha Real Davis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 649 E Albertoni St Ste 100, Carson, CA 90746 Phone: 310-436-9300 | |
Ms. Jyotsnaben Patel, MFT LICENSED Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 Civic Plaza Dr, Carson, CA 90745 Phone: 213-944-1322 | |
William Dawson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 637 E Albertoni St, Carson, CA 90746 Phone: 916-905-0506 | |
Zhenni Liu, M ED Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23311 Maribel Ave, Carson, CA 90745 Phone: 310-514-7845 |