Bonmente | |
1500 Rosecrans Ave Suite #500 Manhattan Beach CA 90266 | |
(310) 866-2571 | |
Not Available |
Full Name | Bonmente |
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Speciality | Psychiatry & Neurology |
Location | 1500 Rosecrans Ave, Manhattan Beach, California |
Authorized Official Name and Position | Mottsin Lawrence Thomas (CEO) |
Authorized Official Contact | 3103607200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bonmente 1590 Rosecrans Ave Ste D #617 Manhattan Beach CA 90266-3716 Ph: (310) 866-2571 | Bonmente 1500 Rosecrans Ave Suite #500 Manhattan Beach CA 90266 Ph: (310) 866-2571 |
NPI Number | 1659972099 |
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Provider Enumeration Date | 11/03/2020 |
Last Update Date | 09/02/2021 |
Certification Date | 06/10/2021 |
Medicare PECOS PAC ID | 1355748021 |
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Medicare Enrollment ID | O20210922002229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659972099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Catalina Villa |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255563268 PECOS PAC ID: 2860538691 Enrollment ID: I20091008000616 |
Provider Name | Uchenna Barbara Okoye |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164840708 PECOS PAC ID: 0749575751 Enrollment ID: I20160829003038 |
Provider Name | Mottsin Lawrence Thomas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1376885293 PECOS PAC ID: 1052690351 Enrollment ID: I20161109000555 |
Provider Name | Rizwan Ahmad |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144649187 PECOS PAC ID: 3274871181 Enrollment ID: I20190218002933 |
Provider Name | Alicia M Bulin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063772580 PECOS PAC ID: 8426399890 Enrollment ID: I20190411002410 |
Provider Name | Dustin Blake Stephens |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922461151 PECOS PAC ID: 2466880430 Enrollment ID: I20200325002708 |
Provider Name | Jordan Blaine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093171480 PECOS PAC ID: 9638598113 Enrollment ID: I20201001003510 |
Provider Name | Jaspreet Kaur Takhar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073095857 PECOS PAC ID: 5597173997 Enrollment ID: I20210423002282 |
Provider Name | Princess Mckenzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639763808 PECOS PAC ID: 8729488200 Enrollment ID: I20210621003161 |
Provider Name | Evangeline Oronce Luriz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447924733 PECOS PAC ID: 3870983778 Enrollment ID: I20211208002529 |
Provider Name | Vides Apresto Santos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376216283 PECOS PAC ID: 3971988239 Enrollment ID: I20220922002018 |
Provider Name | Teri Arana |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043855067 PECOS PAC ID: 9537545314 Enrollment ID: I20220930002579 |
Provider Name | Lalaine Garcia Otadoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275254286 PECOS PAC ID: 3870962905 Enrollment ID: I20221213001574 |
Provider Name | Carmela Zaragoza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477214807 PECOS PAC ID: 0446624332 Enrollment ID: I20230315002485 |
Provider Name | Claudette Banda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306185848 PECOS PAC ID: 5890939839 Enrollment ID: I20230817003854 |
Provider Name | Sham Wen Singh |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457812349 PECOS PAC ID: 9830551944 Enrollment ID: I20230821003237 |
Provider Name | Taylor Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609478148 PECOS PAC ID: 6608220488 Enrollment ID: I20230927003143 |
Provider Name | Christine Columbres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568234268 PECOS PAC ID: 7214372671 Enrollment ID: I20240226002630 |
Provider Name | Mehdi Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548938467 PECOS PAC ID: 0648615906 Enrollment ID: I20240227002487 |
Provider Name | Holly Ann Olalia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538751409 PECOS PAC ID: 7517305048 Enrollment ID: I20240403002610 |
Provider Name | Waqar Zuberi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164982146 PECOS PAC ID: 4082156252 Enrollment ID: I20240604002311 |
Manhattan Village Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 N Sepulveda Blvd, Suite H, Manhattan Beach, CA 90266 Phone: 310-545-4422 Fax: 310-545-3322 | |
Neuro Wellness Spa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 N Sepulveda Blvd Ste 201, Manhattan Beach, CA 90266 Phone: 310-545-4450 Fax: 310-564-2295 | |
Nido Individual And Family Therapy Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Manhattan Beach Blvd Ste 110, Manhattan Beach, CA 90266 Phone: 562-270-5041 | |
Breathe Family Counseling And Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 N Sepulveda Blvd Ste 31, Manhattan Beach, CA 90266 Phone: 310-251-4170 | |
Psychological Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Manhattan Beach Blvd, Ste. 207, Manhattan Beach, CA 90266 Phone: 310-376-3388 Fax: 310-372-0198 | |
Stillwater Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 N Sepulveda Blvd, Suite 30, Manhattan Beach, CA 90266 Phone: 310-378-2520 | |
Verve & Bloom Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2711 N Sepulveda Blvd # 1009, Manhattan Beach, CA 90266 Phone: 424-499-0041 |