| Emilio Osorio, | |
|
3080 La Selva St, San Mateo, CA 94403-2109 | |
| (650) 573-2771 | |
| (650) 349-0771 |
| Full Name | Emilio Osorio |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 23 Years |
| Location | 3080 La Selva St, San Mateo, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841316577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ASW16037 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 10928 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio Osorio, 3080 La Selva St, San Mateo, CA 94403-2109 Ph: (650) 573-2771 | Emilio Osorio, 3080 La Selva St, San Mateo, CA 94403-2109 Ph: (650) 573-2771 |
Mr. Robert Livingstone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 E 3rd Ave Ste 307, San Mateo, CA 94401 Phone: 650-347-5167 Fax: 650-347-5284 |
Selma C Mangrum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Paul Scannell Dr, San Mateo, CA 94402 Phone: 650-312-5234 Fax: 650-312-5305 |
Mr. Jonathan Mitchelmore, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 S Ellsworth Ave Ste 802, San Mateo, CA 94401 Phone: 650-539-8042 |
Eri Tsujii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1950 Alameda De Las Pulgas # 157, San Mateo, CA 94403 Phone: 650-372-6143 Fax: 650-525-1762 |
Deborah Marie Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 438 Sonora Dr, San Mateo, CA 94402 Phone: 650-342-6642 |
Kelsey Anne Fruehan Dattilo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 Alameda De Las Pulgas Ste 200, San Mateo, CA 94403 Phone: 650-573-2222 |
Hilary Schlossman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 S Claremont St Ste 110, San Mateo, CA 94402 Phone: 650-522-0913 Fax: 650-344-3989 |