| Amy M Dinovo, LCSW | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2000 | |
| (626) 405-6768 |
| Full Name | Amy M Dinovo |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629276068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS22020 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy M Dinovo, LCSW 393 E Walnut St, 3rd Floor-phr Systems, Pasadena, CA 91188-0001 Ph: (626) 405-7914 | Amy M Dinovo, LCSW 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Taylor Lewis, MSW, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14500 Roscoe Blvd Ste 400, Panorama City, CA 91402 Phone: 818-741-2906 | |
Carla Garcia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8026 Lemona Ave, Panorama City, CA 91402 Phone: 818-514-5810 | |
Morgan Chandler, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8215 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-855-2270 | |
Patricia Alba, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14500 Roscoe Blvd Ste 400, Panorama City, CA 91402 Phone: 818-835-3459 Fax: 818-935-6189 | |
Jennifer Diana Farfan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St Ste 281, Panorama City, CA 91402 Phone: 818-375-2977 | |
Kathleen M Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 Fax: 626-405-6768 | |
Sergio H Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 Fax: 626-405-6768 |