Karla Diesto, | |
1605 Hope St Ste 350, South Pasadena, CA 91030-2658 | |
(626) 414-5606 | |
(626) 737-6034 |
Full Name | Karla Diesto |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1605 Hope St Ste 350, South Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407117062 | NPI | - | NPPES |
117050 | Other | CA | BBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 76463 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 117050 (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 |
---|---|
Karla Diesto, 940 Avenue 64, Pasadena, CA 91105-2711 Ph: (323) 543-2800 | Karla Diesto, 1605 Hope St Ste 350, South Pasadena, CA 91030-2658 Ph: (626) 414-5606 |
Ms. Judy Lee Ingoldsby, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1910 Huntington Dr, South Pasadena, CA 91030 Phone: 626-441-2868 Fax: 626-441-6389 | |
Mrs. Megan Lynn Murphy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Qing Ye, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Ms. Erika Hirsch, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 Phone: 626-831-4441 | |
Mr. Mark Anthony Acuna, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Lindsey Schwartz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Diane Orozco, MFT-I Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 149 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-274-3065 |