| Jenny Phan, | |
|
1105 E Florida Ave, Hemet, CA 92543-4512 | |
| (951) 439-2939 | |
| Not Available |
| Full Name | Jenny Phan |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 1105 E Florida Ave, Hemet, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730668757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 |
|---|---|
| Jenny Phan, 1105 E Florida Ave, Hemet, CA 92543-4512 Ph: (951) 439-2939 | Jenny Phan, 1105 E Florida Ave, Hemet, CA 92543-4512 Ph: (951) 439-2939 |
Tanyya Hood, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 N State St, Hemet, CA 92543 Phone: 951-683-6596 |
Ms. Renee Colette O'brien, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39990 Faure Rd, Hemet, CA 92544 Phone: 951-708-4019 Fax: 951-767-9820 |
Alexis Hoffman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 E Latham Ave, Hemet, CA 92543 Phone: 951-765-2400 |
Tami C.c. De Guzman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3951 W Stetson Ave, Hemet, CA 92545 Phone: 858-576-1700 |
Ana Chavez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 E Florida Ave Ste 206, Hemet, CA 92544 Phone: 951-652-8300 |
Lori Renee Mccallum Bailey, MHA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42902 Berkley Ave, Hemet, CA 92544 Phone: 619-723-6205 |
Mrs. Sandy Annette Idle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 N State St, Hemet, CA 92543 Phone: 951-791-3330 |