| Diana Martinon, | |
|
9808 Venice Blvd Ste 700, Culver City, CA 90232 | |
| (310) 945-3350 | |
| (310) 945-3356 |
| Full Name | Diana Martinon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 9808 Venice Blvd Ste 700, Culver City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609358464 | NPI | - | NPPES |
| Entity Name | Inland Empire Behavioral Group Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104570282 PECOS PAC ID: 4880089390 Enrollment ID: O20220321001022 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Martinon, 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 Ph: (310) 945-3350 | Diana Martinon, 9808 Venice Blvd Ste 700, Culver City, CA 90232 Ph: (310) 945-3350 |
Mr. Rodger Twitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 310-846-5270 |
Terrie Addison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 |
Robert Michael Hirschhorn, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6124 Buckingham Pkwy Unit 304, Culver City, CA 90230 Phone: 323-290-8705 |
Paul Smith, MSW, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |
Ladana Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 310-846-5270 Fax: 310-846-5278 |
Sandra Ivonne Alvarez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Hannum Ave # 100, Culver City, CA 90230 Phone: 619-931-9261 |
Mrs. Jazmin Lugo Martinez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |