| Ajila Harris, LCSW | |
|
11100 Sepulveda Blvd, # 8-291, Mission Hills, CA 91345-1131 | |
| (747) 253-1560 | |
| (516) 714-9820 |
| Full Name | Ajila Harris |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11100 Sepulveda Blvd, Mission Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508218280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW71802 (California) | Primary |
| Entity Name | Mission City Community Network, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Ajila Harris, LCSW 11100 Sepulveda Blvd # 8-291, Mission Hills, CA 91345-1131 Ph: (747) 253-1560 | Ajila Harris, LCSW 11100 Sepulveda Blvd, # 8-291, Mission Hills, CA 91345-1131 Ph: (747) 253-1560 |
Brenda Munguia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-496-1389 | |
Hripsime Trtatyan, CSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10535 Cedros Ave, Mission Hills, CA 91345 Phone: 323-810-8897 | |
Courtney Abbott Kolbe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-672-6338 | |
Mrs. Wendy Kish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-365-8051 | |
Gohar Kasparian, MSW TRAINEE Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 818-365-8051 Fax: 818-496-4499 | |
Nicholas Jesse Hamm, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd Ste 170, Mission Hills, CA 91345 Phone: 818-895-9707 | |
Alyssa Mazzucco, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10200 Sepulveda Blvd Ste 170, Mission Hills, CA 91345 Phone: 818-895-9707 |