| Cynthia Elide Perez, LCSW | |
|
6500 Wilshire Blvd Fl 19, Los Angeles, CA 90048-4920 | |
| (805) 764-9651 | |
| (747) 330-1670 |
| Full Name | Cynthia Elide Perez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6500 Wilshire Blvd Fl 19, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174851638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29856 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Entity Name | Gracelight Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104075282 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Elide Perez, LCSW 11579 Midway Dr, Cypress, CA 90630-5530 Ph: (480) 980-2633 | Cynthia Elide Perez, LCSW 6500 Wilshire Blvd Fl 19, Los Angeles, CA 90048-4920 Ph: (805) 764-9651 |
Lucy S Villegas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 E 120th St, Los Angeles, CA 90059 Phone: 310-668-3201 | |
Ms. Janie Michaels Grauman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Ave, Los Angeles, CA 90036 Phone: 323-634-3802 Fax: 323-634-3870 | |
Jill Marie Stonerock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6957 N Figueroa St, Los Angeles, CA 90042 Phone: 323-443-3175 | |
Kathy Estrada Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 213-241-3841 | |
Marc Richard Russak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1081 Westwood Blvd Ste 221, Los Angeles, CA 90024 Phone: 310-800-3986 | |
Janet S. Cazares, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Los Angeles, CA 90012 Phone: 310-668-3141 | |
Ms. Heidi M Weinreich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4411 Los Feliz Blvd Apt 403, Los Angeles, CA 90027 Phone: 323-640-5122 Fax: 323-665-5866 |