| Lisa Marie Delgadillo, LCSW | |
|
9310 Sierra Ave, Fontana, CA 92335-5711 | |
| (909) 427-3700 | |
| Not Available |
| Full Name | Lisa Marie Delgadillo |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9310 Sierra Ave, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891999033 | NPI | - | NPPES |
| M252930 | Other | CA | NATIONAL ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS19457 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Delgadillo, LCSW 7156 Big Sur St, Fontana, CA 92336-2900 Ph: (909) 427-8337 | Lisa Marie Delgadillo, LCSW 9310 Sierra Ave, Fontana, CA 92335-5711 Ph: (909) 427-3700 |
Kelly Ann Jimenez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14677 Merrill Ave, Fontana, CA 92335 Phone: 951-643-2340 | |
Alexis Uriel Tovar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14677 Merrill Ave, Fontana, CA 92335 Phone: 909-643-2340 | |
Diana Perez Duran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-997-2645 | |
Ms. Monica Victoria Pulido, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8485 Tamarind Ave, Fontana, CA 92335 Phone: 909-428-2366 | |
Monique Bautista, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6101 Cherry Ave, Fontana, CA 92336 Phone: 909-202-8361 | |
Miguel Angel Velasco-ceja, MSW; ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15218 Summit Ave Ste 300-214, Fontana, CA 92336 Phone: 909-219-4500 | |
Joel Latimer, MFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |