| Alba-walker Life Strategies, A Licensed Clinical Social Worker Corpora | |
|
14500 Roscoe Blvd Ste 400 Panorama City CA 91402-4194 | |
| (818) 406-8543 | |
| Not Available |
| Full Name | Alba-walker Life Strategies, A Licensed Clinical Social Worker Corpora |
|---|---|
| Speciality | Social Worker |
| Location | 14500 Roscoe Blvd Ste 400, Panorama City, California |
| Authorized Official Name and Position | Patricia Alba (CEO) |
| Authorized Official Contact | 8184068543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alba-walker Life Strategies, A Licensed Clinical Social Worker Corpora 14500 Roscoe Blvd Ste 400 Panorama City CA 91402-4194 Ph: () - | Alba-walker Life Strategies, A Licensed Clinical Social Worker Corpora 14500 Roscoe Blvd Ste 400 Panorama City CA 91402-4194 Ph: (818) 406-8543 |
| NPI Number | 1144879966 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 09/04/2019 |
| Medicare PECOS PAC ID | 6507291911 |
|---|---|
| Medicare Enrollment ID | O20200113002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144879966 | NPI | - | NPPES |
| Provider Name | David Gudino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104179217 PECOS PAC ID: 0042556375 Enrollment ID: I20190108001709 |
| Provider Name | Patricia Alba |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124205885 PECOS PAC ID: 7315372729 Enrollment ID: I20200114000533 |
| Provider Name | Todd Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598163891 PECOS PAC ID: 8022443449 Enrollment ID: I20200227000592 |
| Provider Name | Tamara Wynona Wyant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497872691 PECOS PAC ID: 9739501644 Enrollment ID: I20200623002039 |
| Provider Name | Joanna Quijada Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104294214 PECOS PAC ID: 1850713611 Enrollment ID: I20200624000931 |
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