| Denise Kathen Tan Agatep, LCSW | |
|
39400 Paseo Padre Pkwy, Niles West Bldg, 3rd Flr, Fremont, CA 94538-2310 | |
| (510) 248-3283 | |
| (510) 248-3551 |
| Full Name | Denise Kathen Tan Agatep |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 39400 Paseo Padre Pkwy, Fremont, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164584900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Kathen Tan Agatep, LCSW 39400 Paseo Padre Pkwy, Niles West Bldg, 3rd Flr, Fremont, CA 94538-2310 Ph: (510) 248-3283 | Denise Kathen Tan Agatep, LCSW 39400 Paseo Padre Pkwy, Niles West Bldg, 3rd Flr, Fremont, CA 94538-2310 Ph: (510) 248-3283 |
Mr. Joseph B Locaria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4510 Peralta Blvd, Suite 1, Fremont, CA 94536 Phone: 510-713-3202 Fax: 510-713-0684 | |
Edgar T. Young, CADC II, CAS II Counselor Medicare: Not Enrolled in Medicare Practice Location: 4219 Tiburon Dr, Fremont, CA 94555 Phone: 510-794-7262 | |
Rachel Gai, Counselor Medicare: Not Enrolled in Medicare Practice Location: 39600 Logan Dr, Fremont, CA 94538 Phone: 510-656-7211 | |
Michael Hellerud, MS, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Seneca Park Ave, Fremont, CA 94538 Phone: 510-657-9155 | |
Diane Jeanine Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40950 Chapel Way, Fremont, CA 94538 Phone: 510-226-6352 | |
Mrs. Mia Larkin Newton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40950 Chapel Way, Fremont, CA 94538 Phone: 510-226-6180 | |
Susan Aziz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 442 Calistoga Cir, Fremont, CA 94536 Phone: 510-386-4435 |