| Joanna Isabel Burga, | |
|
622 Rose Ave, Venice, CA 90291-2767 | |
| (310) 392-8636 | |
| Not Available |
| Full Name | Joanna Isabel Burga |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 622 Rose Ave, Venice, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245879337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 87916 (California) | Primary |
| Entity Name | Venice Family Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669418513 PECOS PAC ID: 2264339126 Enrollment ID: O20031217001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Isabel Burga, 622 Rose Ave, Venice, CA 90291-2767 Ph: () - | Joanna Isabel Burga, 622 Rose Ave, Venice, CA 90291-2767 Ph: (310) 392-8636 |
Ms. Kara Leigh Smith, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Adriana Viola White, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-614-7801 Fax: 310-392-8402 | |
Ms. Shawnee Isaac Smith, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1025 Indiana Ave, Venice, CA 90291 Phone: 310-570-5856 | |
Sarah Rose Zemp, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-622-0708 | |
Rachel Hirschberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 424-200-5397 | |
Dalia Rubi Merida Cuevas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Kelly Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 |