| Isaac Wright, | |
|
4760 Sepulveda Blvd, Culver City, CA 90230-4820 | |
| (310) 390-6612 | |
| (310) 398-5690 |
| Full Name | Isaac Wright |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4760 Sepulveda Blvd, 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 |
|---|---|---|---|
| 1457997983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 78630 (California) | Primary |
| 104100000X | Social Worker | (NU) | Secondary |
| Entity Name | Mindful Lemon Marriage and Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487324463 PECOS PAC ID: 8921499096 Enrollment ID: O20211228000411 |
| Entity Name | Grow Healthcare Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Wright, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612 | Isaac Wright, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612 |
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 |