| Lisa Ahn, CCC-SLP | |
|
11151 Sun Center Dr Ste C, Rancho Cordova, CA 95670-6194 | |
| (916) 273-3389 | |
| Not Available |
| Full Name | Lisa Ahn |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 11151 Sun Center Dr Ste C, Rancho Cordova, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528608064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 21344 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ahn, CCC-SLP 4506 Bela Way, Carmichael, CA 95608-1215 Ph: (808) 779-8701 | Lisa Ahn, CCC-SLP 11151 Sun Center Dr Ste C, Rancho Cordova, CA 95670-6194 Ph: (916) 273-3389 |
Cindy Rachel Garcia, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11100 Coloma Rd, Rancho Cordova, CA 95670 Phone: 916-361-7290 Fax: 916-361-8613 | |
Ms. Sarah Michele Gwinn, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2532 Las Casas Way, Rancho Cordova, CA 95670 Phone: 805-705-0503 | |
Judith Wassermann, M.S. CC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11100 Coloma Rd, Rancho Cordova, CA 95670 Phone: 916-361-7290 Fax: 916-361-8613 | |
Mrs. Michelle Christina Harder, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11100 Coloma Rd, Rancho Cordova, CA 95670 Phone: 916-361-7290 | |
Rebekah Branaman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11151 Sun Center Dr Ste C, Rancho Cordova, CA 95670 Phone: 916-273-3389 | |
Lisa Mcwilliams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11100 Coloma Rd, Rancho Cordova, CA 95670 Phone: 916-361-7290 | |
Rajveena Kaur Koont, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4129 Aragon Way, Rancho Cordova, CA 95742 Phone: 916-380-7830 |