| Adelante Therapy | |
|
5800 S Eastern Ave Ste 500 Commerce CA 90040-4033 | |
| (323) 333-3305 | |
| Not Available |
| Full Name | Adelante Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 5800 S Eastern Ave Ste 500, Commerce, California |
| Authorized Official Name and Position | Esmeralda Ledesma (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3233333305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adelante Therapy 5800 S Eastern Ave Ste 500 Commerce CA 90040-4033 Ph: () - | Adelante Therapy 5800 S Eastern Ave Ste 500 Commerce CA 90040-4033 Ph: (323) 333-3305 |
| NPI Number | 1346904778 |
|---|---|
| Provider Enumeration Date | 10/22/2021 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Medicare PECOS PAC ID | 4385022441 |
|---|---|
| Medicare Enrollment ID | O20220601001253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346904778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Esmeralda Ledesma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750587515 PECOS PAC ID: 8123244704 Enrollment ID: I20140717001922 |
| Provider Name | Jacqueline Lizzette Azucena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508146325 PECOS PAC ID: 7911314604 Enrollment ID: I20210324002656 |
| Provider Name | Monica Aideth Manrique |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629351127 PECOS PAC ID: 7113305269 Enrollment ID: I20220602001203 |
| Provider Name | Judy Stella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437469467 PECOS PAC ID: 2264810779 Enrollment ID: I20220610001911 |
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