| Jael M Vega, | |
|
204 Hampton Dr, Venice, CA 90291-2623 | |
| (310) 396-6468 | |
| Not Available |
| Full Name | Jael M Vega |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 204 Hampton Dr, Venice, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033621750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT126477 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | IMF102117 (California) | Secondary |
| 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 |
|---|---|
| Jael M Vega, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 396-6468 | Jael M Vega, 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 396-6468 |
Miss Sarah Ann Critelli, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 Vernon Ave, Venice, CA 90291 Phone: 310-560-0202 | |
Cynthia Crosby, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 744 1/2 Flower Ave, Venice, CA 90291 Phone: 310-902-6165 Fax: 310-390-3677 | |
Mr. John William Johnson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2700 Abbot Kinney Blvd Apt 11, Venice, CA 90291 Phone: 503-997-7584 | |
Judith Bin-nun, PHD Couples Therapy Medicare: Medicare Enrolled Practice Location: 829 Milwood Ave, Venice, CA 90291 Phone: 310-310-5059 Fax: 310-310-5059 | |
Mrs. Kristen Branch Winslow, LMFT, MBA Couples Therapy Medicare: Medicare Enrolled Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 Fax: 310-392-9068 | |
Salonia Singh Husson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2715 Abbot Kinney Blvd Unit 7, Venice, CA 90291 Phone: 909-319-0955 |