| Mr Jonathan R Boland, LCSW, BCD, MPH | |
|
2514 E 6th St Apt A, Long Beach, CA 90814-7363 | |
| (858) 295-3841 | |
| (858) 216-8057 |
| Full Name | Mr Jonathan R Boland |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2514 E 6th St Apt A, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003242793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 75787 (California) | Primary |
| Entity Name | Los Angeles Lgbt Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jonathan R Boland, LCSW, BCD, MPH Naval Consolidated Brig Miramar, 46141 Miramar Way, San Diego, CA 92126 Ph: (858) 307-7184 | Mr Jonathan R Boland, LCSW, BCD, MPH 2514 E 6th St Apt A, Long Beach, CA 90814-7363 Ph: (858) 295-3841 |
Jeniffer Michelle Rubio, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Redondo Ave Fl 6, Long Beach, CA 90806 Phone: 562-256-7399 | |
Mr. Ray Ira Apter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4333 N. Greenbrier Road, Long Beach, CA 90808 Phone: 562-896-4636 | |
Leslie Mariell Lopez, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2600 Redondo Ave Fl 3, Long Beach, CA 90806 Phone: 562-256-2936 | |
Elisa Gabriela Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Redondo Ave, Long Beach, CA 90806 Phone: 562-256-2900 | |
Sendy Abigail Mondragon, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pacific Coast Hwy, Long Beach, CA 90804 Phone: 562-490-7600 | |
Jacqueline Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Long Beach Blvd, Long Beach, CA 90807 Phone: 562-548-6500 |