| Irma Hernandez, | |
|
1040 Elm Ave Ste 206, Long Beach, CA 90813-3266 | |
| (626) 244-9885 | |
| Not Available |
| Full Name | Irma Hernandez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1040 Elm Ave Ste 206, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194853192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 121534 (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 |
|---|---|
| Irma Hernandez, 1040 Elm Ave Ste 206, Long Beach, CA 90813-3266 Ph: (562) 624-4988 | Irma Hernandez, 1040 Elm Ave Ste 206, Long Beach, CA 90813-3266 Ph: (626) 244-9885 |
Jeniffer Michelle Rubio, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Redondo Ave Fl 6, Long Beach, CA 90806 Phone: 562-256-7399 |
Mr. Ray Ira Apter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4333 N. Greenbrier Road, Long Beach, CA 90808 Phone: 562-896-4636 |
Sarit Fassazadeh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 456 Elm Ave, Long Beach, CA 90802 Phone: 562-437-6717 |
Mr. Jonathan R Boland, LCSW, BCD, MPH Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2514 E 6th St Apt A, Long Beach, CA 90814 Phone: 858-295-3841 Fax: 858-216-8057 |
Leslie Mariell Lopez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Redondo Ave Fl 3, Long Beach, CA 90806 Phone: 562-256-2936 |
Elisa Gabriela Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Redondo Ave, Long Beach, CA 90806 Phone: 562-256-2900 |
Mr. James Lynn Watson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-8000 |