| Liliana Diaz-rodriguez, | |
|
2025 Regency Pkwy, Dixon, CA 95620-4510 | |
| (707) 410-6232 | |
| Not Available |
| Full Name | Liliana Diaz-rodriguez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2025 Regency Pkwy, Dixon, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386016764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Liliana Diaz-rodriguez, Po Box 223, Dixon, CA 95620-0223 Ph: () - | Liliana Diaz-rodriguez, 2025 Regency Pkwy, Dixon, CA 95620-4510 Ph: (707) 410-6232 |
Douglas Carr, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln St, Dixon, CA 95620 Phone: 707-693-1733 Fax: 707-693-1705 | |
Kelly Lee Montoya, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1550 Valley Glen Dr Apt 225, Dixon, CA 95620 Phone: 805-709-6127 | |
Alicia M Perry, LPC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 N Lincoln St Ste B, Dixon, CA 95620 Phone: 404-641-8999 | |
Mrs. Margie Louise Hackett, M.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 N Lincoln St, Suite H, Dixon, CA 95620 Phone: 707-678-7689 Fax: 707-678-0666 | |
Solji Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1085 Purdue Ct, Dixon, CA 95620 Phone: 302-893-9409 | |
Robin Jackson, RW Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 N Lincoln St, Dixon, CA 95620 Phone: 707-693-1733 Fax: 707-693-1705 |