Mr Martin Ayala, LCSW | |
160 E Holt Ave, B, Pomona, CA 91767-5406 | |
(909) 620-2521 | |
Not Available |
Full Name | Mr Martin Ayala |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 160 E Holt Ave, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881811420 | NPI | - | NPPES |
00007302 | Medicaid | CA | |
CBSC709 | Other | CA | LA DMH PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 28221 (California) | Primary |
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Mr Martin Ayala, LCSW 2512 Giovanne Way, West Covina, CA 91792-5701 Ph: (626) 222-0911 | Mr Martin Ayala, LCSW 160 E Holt Ave, B, Pomona, CA 91767-5406 Ph: (909) 620-2521 |
Jungmi Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 | |
Mrs. Anakari Corona, LCSW 108934 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2063 Rancho Valley Drive, Unit 320 #129, Pomona, CA 91766 Phone: 909-300-5148 | |
Rosalia Jaqueline Armas I, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1900 Royalty Dr, Pomona, CA 91767 Phone: 909-766-7319 | |
Lorena Zazueta, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 Fax: 909-865-9281 | |
Ms. Shantell Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1568 Mcleod Pl, Pomona, CA 91768 Phone: 909-620-7543 | |
Elysa Thangchaipinyokul, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Oak Cliff Dr, Pomona, CA 91766 Phone: 909-979-7184 | |
Diana Aguayo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1555 S Garey Ave, Pomona, CA 91766 Phone: 909-620-8088 |