| Jasmine Gonzalez, LCSW | |
|
6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 | |
| (818) 824-9830 | |
| Not Available |
| Full Name | Jasmine Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831562495 | NPI | - | NPPES |
| 7368 | Other | CA | MED-CAL |
| 7667 | Other | CA | MED-CAL |
| 7708 | Other | CA | MED-CAL |
| 7184 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW115434 (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 |
|---|---|
| Jasmine Gonzalez, LCSW 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 Ph: (818) 824-9830 | Jasmine Gonzalez, LCSW 6736 Laurel Canyon Blvd Ste 200, North Hollywood, CA 91606-1576 Ph: (818) 824-9830 |
Katherine Lair, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5062 Lankershim Blvd # 1020, North Hollywood, CA 91601 Phone: 909-713-9023 | |
Ms. Cindy Toledo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000 | |
Kristen Estrella, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6400 Laurel Canyon Blvd Ste 500, North Hollywood, CA 91606 Phone: 818-901-6376 | |
Mrs. Karen R Hess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12821 Victory Blvd, North Hollywood, CA 91606 Phone: 818-769-0560 Fax: 818-766-8523 | |
Talin Khechoomian, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11005 Kittridge St Apt 101, North Hollywood, CA 91606 Phone: 747-977-1674 | |
Ingrid Rey Balbuena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6736 Laurel Canyon Blvd, North Hollywood, CA 91606 Phone: 818-824-9853 | |
Jeanett Del Carmen Carrillo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12157 Victory Blvd, North Hollywood, CA 91606 Phone: 818-755-8000 |