| Brian Kaufman, LCSW | |
|
11401 Bloomfield Ave Unit 106, Norwalk, CA 90650-2015 | |
| (562) 521-1772 | |
| Not Available |
| Full Name | Brian Kaufman |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 11401 Bloomfield Ave Unit 106, Norwalk, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437299401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 27428 (California) | Primary |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Kaufman, LCSW 11401 Bloomfield Ave Unit 106, Norwalk, CA 90650-2015 Ph: (562) 521-1772 | Brian Kaufman, LCSW 11401 Bloomfield Ave Unit 106, Norwalk, CA 90650-2015 Ph: (562) 521-1772 |
Ariana Ventura Ayala, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-584-1268 |
Nazaret Montes De Oca, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Po Box 2015, Norwalk, CA 90651 Phone: 562-508-0479 |
Josephine N Borgonia, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11401 Bloomfield Avenue, Norwalk, CA 90650 Phone: 562-565-6503 |
Eva Shanching Fukumoto, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12440 Imperial Hwy Ste 116, Norwalk, CA 90650 Phone: 800-854-7771 Fax: 562-868-4609 |
Gordon Wollin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11401 South Bloomfield Ave., Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 |
Miss Gayle R. Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12440 Imperial Hwy, 116, Norwalk, CA 90650 Phone: 562-651-5085 |
Dinessa Herrera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12440 Imperial Hwy, Norwalk, CA 90650 Phone: 800-854-7771 |