Patricia Louise Crukins, | |
21119 Chatsworth St, Chatsworth, CA 91311-1437 | |
(661) 434-1341 | |
Not Available |
Full Name | Patricia Louise Crukins |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 21119 Chatsworth St, Chatsworth, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639592017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 95094 (California) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT95094 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Patricia Louise Crukins, 14535 Sherman Cir, Van Nuys, CA 91405-3087 Ph: () - | Patricia Louise Crukins, 21119 Chatsworth St, Chatsworth, CA 91311-1437 Ph: (661) 434-1341 |
Mrs. Denise Torres, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20001 Prairie St, Chatsworth, CA 91311 Phone: 818-717-7000 | |
Aubree Lynd Sweeney, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21000 Plummer St, Chatsworth, CA 91311 Phone: 818-882-6400 Fax: 818-882-6404 | |
Elizabeth Cabadas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20001 Prairie St, Chatsworth, CA 91311 Phone: 818-717-1000 | |
Erika L Alvarez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20001 Prairie St, Chatsworth, CA 91311 Phone: 818-717-1000 | |
Noah Scott Pasternak, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 133 Dennis Way, Chatsworth, CA 91311 Phone: 310-850-2051 | |
Anna Lei Sidorchuk, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10501 Larwin Ave Unit 6, Chatsworth, CA 91311 Phone: 818-274-7214 | |
Mr. John Davies Bracken, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 21000 Plummer St, Chatsworth, CA 91311 Phone: 818-882-6400 Fax: 818-882-6404 |