| Lisa Quach, | |
|
2222 Bancroft Way, Berkeley, CA 94720-4301 | |
| (510) 643-2904 | |
| Not Available |
| Full Name | Lisa Quach |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2222 Bancroft Way, Berkeley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083279350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Quach, 100 Lefferts Ave Apt 4k, Brooklyn, NY 11225-3909 Ph: (510) 725-2115 | Lisa Quach, 2222 Bancroft Way, Berkeley, CA 94720-4301 Ph: (510) 643-2904 |
Julia Stroud, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 The Alameda Ste 223, Berkeley, CA 94707 Phone: 510-631-0471 |
Mrs. Courtney Eaton Lennard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3120 Telegraph Ave Ste 2, Berkeley, CA 94705 Phone: 510-507-1074 |
Abigail Dembo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2119 Essex St, Berkeley, CA 94705 Phone: 812-369-3659 |
Mr. Michael Hilton Marchant, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2640 Martin Luther King Jr Way, Berkeley, CA 94704 Phone: 510-981-5290 Fax: 510-981-5265 |
Loan Thi Kim Nguyen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1918 Bonita Ave Fl 2, Berkeley, CA 94704 Phone: 510-929-0004 |
Cortney Given, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way Rm 2280, Berkeley, CA 94720 Phone: 808-272-4270 |
Patrick Conlin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 Hillegass Ave # 2, Berkeley, CA 94705 Phone: 510-841-7321 |