Sioban Wade, | |
4000 W Metropolitan Dr, Orange, CA 92868-3504 | |
(866) 830-6011 | |
Not Available |
Full Name | Sioban Wade |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4000 W Metropolitan Dr, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063881316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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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Sioban Wade, 14140 Beach Blvd, Westminster, CA 92683-4453 Ph: () - | Sioban Wade, 4000 W Metropolitan Dr, Orange, CA 92868-3504 Ph: (866) 830-6011 |
Maria Del Carmen Bernal, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1855 W Katella Ave Ste 150, Orange, CA 92867 Phone: 714-399-3480 | |
Carolyn Fox Blakemore, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2230 W Chapman Ave, Orange, CA 92868 Phone: 805-323-0270 | |
Jessica Klinkenberg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1110 E Chapman Ave Ste 201, Orange, CA 92866 Phone: 714-588-7224 | |
Mrs. Nicole Annette Seitz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 231 W Blueridge Ave, Orange, CA 92865 Phone: 714-423-1519 | |
Michelle Flores, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 500 City Pkwy W Ste 200, Orange, CA 92868 Phone: 714-480-6600 | |
Juan Galaviz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 301 The City Dr S Fl 2, Orange, CA 92868 Phone: 714-935-6363 | |
Mr. David Lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4000 W Metropolitan Dr Ste 401, Orange, CA 92868 Phone: 714-834-4707 |