| Ellen Latoya Davis, | |
|
850 E Foothill Blvd, Rialto, CA 92376-5230 | |
| (909) 421-9370 | |
| Not Available |
| Full Name | Ellen Latoya Davis |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 850 E Foothill Blvd, Rialto, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487063970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Latoya Davis, 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: Not Available | Ellen Latoya Davis, 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 421-9370 |
Anna Blum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E. Foothill Blvd., 124-d, Rialto, CA 92376 Phone: 909-421-9475 |
Brenda Guardado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2630 N Linden Ave, Rialto, CA 92377 Phone: 909-854-4100 |
Emma A Kirchner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 N Riverside Ave Ste 1, Rialto, CA 92376 Phone: 909-255-3384 |
Lameisha Monique George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9495 |
Ms. Cindy Sue Allen, CATC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9495 Fax: 909-421-9494 |
Mr. Harold Glenn Patton, DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 732 S Acacia Ave, Rialto, CA 92376 Phone: 909-258-2478 Fax: 760-628-2098 |
Mrs. Jean Renee Parker-gibson, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9301 |