| Sayaka Kawase, | |
|
10929 South St, 208 B, Cerritos, CA 90703-5340 | |
| (562) 924-5526 | |
| (562) 924-1040 |
| Full Name | Sayaka Kawase |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10929 South St, Cerritos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508299256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21422 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sayaka Kawase, 10929 South St, 208 B, Cerritos, CA 90703-5340 Ph: (562) 924-5526 | Sayaka Kawase, 10929 South St, 208 B, Cerritos, CA 90703-5340 Ph: (562) 924-5526 |
Mr. Michael John Tyoran, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-403-0381 | |
Mrs. Alisa C. Gibney, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 208b, Cerritos, CA 90703 Phone: 562-924-5526 Fax: 562-924-1040 | |
Sierra Hartsfield, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12900 Park Plaza Dr, Cerritos, CA 90703 Phone: 562-467-5438 | |
Melissa Lee Finnegan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-402-0688 Fax: 562-381-9761 | |
Mrs. Leticia Guzman-soydan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-402-0688 | |
Miss Tracy Pauline Schmidt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10929 South St, Suite 214b, Cerritos, CA 90703 Phone: 562-865-6444 Fax: 562-865-5864 | |
Zoraida San Roman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17707 Studebaker Rd, Cerritos, CA 90703 Phone: 562-402-0688 |