| Minerva Sajjadi, LC SOCIAL WORKER | |
|
290 N 10th St Ste 102, Colton, CA 92324-3052 | |
| (909) 825-6188 | |
| (909) 872-0652 |
| Full Name | Minerva Sajjadi |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 290 N 10th St Ste 102, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346378817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS25894 (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 |
|---|---|
| Minerva Sajjadi, LC SOCIAL WORKER 290 N 10th St Ste 102, Colton, CA 92324-3052 Ph: (909) 825-6188 | Minerva Sajjadi, LC SOCIAL WORKER 290 N 10th St Ste 102, Colton, CA 92324-3052 Ph: (909) 825-6188 |
Ms. Barbara Ellen Bresolin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 E Cooley Dr Ste 111, Colton, CA 92324 Phone: 909-825-5128 Fax: 909-825-8568 | |
Nadia Solis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1461 E Cooley Dr, Colton, CA 92324 Phone: 099-665-2024 | |
Alexandra Zaragoza, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1461 E Cooley Dr, Colton, CA 92324 Phone: 877-527-7227 | |
Tiawny Lockett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1800 | |
Mr. John Tesco Goodson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 791 N. Pepper Ave, Colton, CA 92324 Phone: 909-824-0480 Fax: 909-824-0487 | |
Stacie Lynn Singh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 791 N Pepper Ave, Colton, CA 92324 Phone: 909-824-0480 | |
Brittani J Hollier, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324 Phone: 877-527-7227 |