Shada Marie Patterson, MA | |
23041 Avenida De La Carlota Fl 4, Laguna Hills, CA 92653-1511 | |
(714) 644-6480 | |
Not Available |
Full Name | Shada Marie Patterson |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 23041 Avenida De La Carlota Fl 4, Laguna Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588152417 | NPI | - | NPPES |
0022389233 | Other | CA | KAISER PERMANENTE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 105931 (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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Shada Marie Patterson, MA 7725 Gateway Unit 3235, Irvine, CA 92618-5844 Ph: () - | Shada Marie Patterson, MA 23041 Avenida De La Carlota Fl 4, Laguna Hills, CA 92653-1511 Ph: (714) 644-6480 |
Don Rowen, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23201 Mill Creek Dr, Ste 220, Laguna Hills, CA 92653 Phone: 949-460-5320 Fax: 949-460-5322 | |
Roya M Hayatdavoudi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23282 Mill Creek Dr, Suite 260, Laguna Hills, CA 92653 Phone: 949-370-6114 Fax: 949-305-7641 | |
Mrs. Janet Marie Congo, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23441 S Pointe Dr Ste 180, Laguna Hills, CA 92653 Phone: 949-452-9295 Fax: 949-452-0296 | |
Julia Miles, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23121 Verdugo Dr Ste 105, Laguna Hills, CA 92653 Phone: 949-520-2720 Fax: 949-625-7677 | |
Ms. Janice Lynne Covyeau, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23121 Verdugo Drive, Ste, Laguna Hills, CA 92653 Phone: 949-633-7885 | |
Michael Brundage, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25283 Cabot Rd, Suite 107, Laguna Hills, CA 92653 Phone: 949-293-0382 | |
Michelle T Volz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24881 Alicia Pkwy # E-223, Laguna Hills, CA 92653 Phone: 949-445-3855 |