| Mary Anne Pakaz, | |
|
149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 | |
| (323) 274-3065 | |
| Not Available |
| Full Name | Mary Anne Pakaz |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 149 Pasadena Ave Ste A, South Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124362884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 96087 (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 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Anne Pakaz, 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 Ph: (323) 543-2800 | Mary Anne Pakaz, 149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 Ph: (323) 274-3065 |
Jessica Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Ms. Jan Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 660 Monterey Rd, South Pasadena, CA 91030 Phone: 626-403-9101 | |
Darla Clementina Cozzarelli, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave Ste 125&300, South Pasadena, CA 91030 Phone: 626-441-4221 | |
Mr. Jason David Rubin, M.S.W., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1317 Huntington Dr, South Pasadena, CA 91030 Phone: 323-537-1714 Fax: 213-607-4360 | |
Leandra Sullivan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Fair Oaks Ave., South Pasadena, CA 91030 Phone: 626-655-3195 | |
Mrs. Andrea Hanken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030 Phone: 626-395-7100 | |
Lauren Stockly, LCSW, RPT-S, ECMHS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1605 Hope St Ste 350, South Pasadena, CA 91030 Phone: 626-737-1732 |