| Angella Brinkman, MA | |
|
23509 Cantara Rd, Corona, CA 92883-9230 | |
| (949) 202-6112 | |
| Not Available |
| Full Name | Angella Brinkman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 23509 Cantara Rd, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871201244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 133946 (California) | Primary |
| Entity Name | Forward Wellness Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Angella Brinkman, MA 23509 Cantara Rd, Corona, CA 92883-9230 Ph: (949) 202-6112 | Angella Brinkman, MA 23509 Cantara Rd, Corona, CA 92883-9230 Ph: (949) 202-6112 |
Jesse James Tinoco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-279-3222 | |
Cynthia Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St Ste 201, Corona, CA 92882 Phone: 951-609-5128 | |
Ms. Andrea Jean Mastrianni-mounts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Avenida Del Vista, Apt A, Corona, CA 92882 Phone: 310-500-6247 | |
Lamont Raynard Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1119 Stone Pine Ln Unit D, Corona, CA 92879 Phone: 916-696-1616 | |
Mr. David Ramon Zermeno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 S Main St, Suite # 201, Corona, CA 92882 Phone: 951-264-8754 Fax: 951-279-8333 | |
Cheyenne Rica Hosseini, M.S.W. Counselor Medicare: Medicare Enrolled Practice Location: 1492 W 6th St Ste J, Corona, CA 92882 Phone: 951-268-9002 | |
Mr. Derron Keith Putnam, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1307 W 6th St # 109, Corona, CA 92882 Phone: 951-279-1333 |