Mrs Juanita Equils, | |
566 S Brand Blvd, San Fernando, CA 91340-4002 | |
(818) 898-0223 | |
(818) 361-5384 |
Full Name | Mrs Juanita Equils |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 566 S Brand Blvd, San Fernando, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891099909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 85357 (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 |
---|---|
Mrs Juanita Equils, 566 S Brand Blvd, San Fernando, CA 91340-4002 Ph: (818) 898-0223 | Mrs Juanita Equils, 566 S Brand Blvd, San Fernando, CA 91340-4002 Ph: (818) 898-0223 |
Miss Irma Valencia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 N Maclay Ave, San Fernando, CA 91340 Phone: 818-732-0430 | |
Natalie Santoyo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd Unit 1, San Fernando, CA 91340 Phone: 818-361-5030 | |
Jennifer Dawn Stevenson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd, #101, San Fernando, CA 91340 Phone: 818-472-9920 | |
Regina M. Petrella, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 110 N Maclay Ave Ste 109, San Fernando, CA 91340 Phone: 310-962-4330 Fax: 310-454-9174 | |
Daisy Melendez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 | |
Miss Karina Robles, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Brand Blvd Ste 101, San Fernando, CA 91340 Phone: 818-898-9493 | |
Valentina Regner Torrence, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 S Brand Blvd, San Fernando, CA 91340 Phone: 818-714-2275 |