| Jacqueline Valdovinos, | |
|
108 W Victoria St, Gardena, CA 90248-3523 | |
| (310) 715-2020 | |
| Not Available |
| Full Name | Jacqueline Valdovinos |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 9 Years |
| Location | 108 W Victoria St, Gardena, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689185985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | IMF101649 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 130869 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Blue Psychological Services | 3678908357 | 23 |
| Entity Name | Pacific Blue Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124678719 PECOS PAC ID: 3678908357 Enrollment ID: O20200129000198 |
| 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 |
| 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 |
|---|---|
| Jacqueline Valdovinos, 1256 W 120th St, Los Angeles, CA 90044-1124 Ph: (323) 898-2026 | Jacqueline Valdovinos, 108 W Victoria St, Gardena, CA 90248-3523 Ph: (310) 715-2020 |
Mrs. Iva Svetlikova, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 Fax: 310-660-0494 |
Mrs. Sayo Matsuda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 424-757-4226 |
Mr. Khai Hoang Nguyen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 |
Ms. Manuela Christine Siriaco, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 |
Edward Albert Del Hierro, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 |
Seema Bakshi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 209-605-3231 |
Aaliyah Austin, Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 15515 S Vermont Ave, Gardena, CA 90247 Phone: 310-997-6082 |