| Miss Sofia Subhan, | |
|
3530 Atlantic Ave, Ste. 210, Long Beach, CA 90807-4569 | |
| (562) 424-1886 | |
| Not Available |
| Full Name | Miss Sofia Subhan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3530 Atlantic Ave, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053645218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Sofia Subhan, 3530 Atlantic Ave, Long Beach, CA 90807-4569 Ph: (562) 424-1886 | Miss Sofia Subhan, 3530 Atlantic Ave, Ste. 210, Long Beach, CA 90807-4569 Ph: (562) 424-1886 |
Catherine M. Brock, MA, LMHC, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5855 E Naples Plz Ste 206, Long Beach, CA 90803 Phone: 425-891-3749 | |
John Cox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Long Beach Blvd, Long Beach, CA 90806 Phone: 562-981-1501 Fax: 562-981-1502 | |
Frederick Djuan Broussard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3707 Cherry Ave, Long Beach, CA 90807 Phone: 562-417-9322 | |
Mr. Ellison Mcqueen, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 2703 E 7th St, Long Beach, CA 90804 Phone: 562-433-0454 | |
Ms. Melany A Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 E 10th St, Long Beach, CA 90813 Phone: 562-218-3639 | |
Ms. Phuong Ngo, MSW INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1975 Long Beach Blvd Fl 2, Long Beach, CA 90806 Phone: 562-599-9401 | |
Brenda Crouthers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2272 Pacific Ave, Long Beach, CA 90806 Phone: 562-427-8018 |