Liliana Diaz-rodriguez, | |
2025 Regency Pkwy, Dixon, CA 95620-4510 | |
(707) 410-6232 | |
Not Available |
Full Name | Liliana Diaz-rodriguez |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2025 Regency Pkwy, Dixon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386016764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Liliana Diaz-rodriguez, Po Box 223, Dixon, CA 95620-0223 Ph: () - | Liliana Diaz-rodriguez, 2025 Regency Pkwy, Dixon, CA 95620-4510 Ph: (707) 410-6232 |
Douglas Carr, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln St, Dixon, CA 95620 Phone: 707-693-1733 Fax: 707-693-1705 | |
Kelly Lee Montoya, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1550 Valley Glen Dr Apt 225, Dixon, CA 95620 Phone: 805-709-6127 | |
Mrs. Margie Louise Hackett, M.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 N Lincoln St, Suite H, Dixon, CA 95620 Phone: 707-678-7689 Fax: 707-678-0666 | |
Solji Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Purdue Ct, Dixon, CA 95620 Phone: 302-893-9409 | |
Robin Jackson, RW Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln St, Dixon, CA 95620 Phone: 707-693-1733 Fax: 707-693-1705 | |
Angel Ann-marie Gatchel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Berkshire Ct, Dixon, CA 95620 Phone: 707-365-3104 |