| Azad Galustian, | |
|
919 1st St, San Fernando, CA 91340-2957 | |
| (818) 256-1124 | |
| Not Available |
| Full Name | Azad Galustian |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 919 1st St, San Fernando, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437315637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW77648 (California) | Primary |
| Entity Name | Los Angeles County Department Of Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
| Mailing Address | Practice Location Address |
|---|---|
| Azad Galustian, 919 1st St, San Fernando, CA 91340-2957 Ph: (818) 256-1124 | Azad Galustian, 919 1st St, San Fernando, CA 91340-2957 Ph: (818) 256-1124 |
Ms. Heidi Glenda Lennartz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St, San Fernando, CA 91340 Phone: 818-963-5690 | |
Jacqueline Galvez-ruiz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13330 Vaughn St, San Fernando, CA 91340 Phone: 818-383-9844 | |
Victoria Curtin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1172 N Maclay Ave, San Fernando, CA 91340 Phone: 818-898-1388 Fax: 818-365-4031 | |
Maria Perez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340 Phone: 818-361-5030 | |
Mr. Ruben Vargas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Third St. C/o Public Defenders Office 2nd Floor, San Fernando Superior Court, San Fernando, CA 91340 Phone: 818-898-2490 Fax: 818-898-2595 | |
Brenda Delacruz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11565 Laurel Canyon Blvd Ste 116, San Fernando, CA 91340 Phone: 818-361-5030 | |
Mrs. Mayra Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 |