| Social Resources Connection Inc | |
|
23945 Sunnymead Blvd Ste 2 Moreno Valley CA 92553-3025 | |
| (562) 200-4381 | |
| (951) 346-4117 |
| Full Name | Social Resources Connection Inc |
|---|---|
| Speciality | Social Worker |
| Location | 23945 Sunnymead Blvd Ste 2, Moreno Valley, California |
| Authorized Official Name and Position | Yvonne Gabriella Rodriguez (CEO) |
| Authorized Official Contact | 5625055945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Resources Connection Inc 11019 Reichling Lane Whittier CA 90606 Ph: (562) 505-5945 | Social Resources Connection Inc 23945 Sunnymead Blvd Ste 2 Moreno Valley CA 92553-3025 Ph: (562) 200-4381 |
| NPI Number | 1184271298 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 7719316066 |
|---|---|
| Medicare Enrollment ID | O20200407003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184271298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yvonne G Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639375777 PECOS PAC ID: 5799088225 Enrollment ID: I20160115002524 |
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