Mr Moises Ponce, MFT INTERN | |
1688 N Perris Blvd, Suite L7-11, Perris, CA 92571-4709 | |
(951) 443-2236 | |
(951) 443-2240 |
Full Name | Mr Moises Ponce |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1688 N Perris Blvd, Perris, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760508774 | NPI | - | NPPES |
39956 | Other | CA | IMF NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 39956 (California) | Primary |
Entity Name | Inland Psychiatric Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649217761 PECOS PAC ID: 9436062312 Enrollment ID: O20031106000736 |
Mailing Address | Practice Location Address |
---|---|
Mr Moises Ponce, MFT INTERN 25742 Van Leuven St, Loma Linda, CA 92354-2508 Ph: (909) 478-0701 | Mr Moises Ponce, MFT INTERN 1688 N Perris Blvd, Suite L7-11, Perris, CA 92571-4709 Ph: (951) 443-2236 |
Marlene Mayra Ferreras, PHD, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 308 E San Jacinto Ave, Perris, CA 92570 Phone: 951-940-6700 | |
Adriana Patricia Mejia, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 Redlands Ave, Perris, CA 92571 Phone: 519-406-6959 | |
Aime Govea, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 555 N Perris Blvd Bldg A, Perris, CA 92571 Phone: 951-436-5302 | |
Shane Goldbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 555 N Perris Blvd, Building A, Perris, CA 92571 Phone: 951-436-5300 Fax: 951-436-5350 | |
Tai Maddox, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 308 E San Jacinto Ave, Perris, CA 92570 Phone: 951-775-2493 | |
Crystal Valerio-sandoval, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20831 Mural St, Perris, CA 92570 Phone: 951-483-3072 | |
Mrs. Sherry Monique Morris-logan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 975 Morgan St, Perris, CA 92571 Phone: 951-940-6100 |