Mitra Golriz, LMFT | |
131 Chandon, Laguna Niguel, CA 92677-5732 | |
(949) 297-6737 | |
Not Available |
Full Name | Mitra Golriz |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 131 Chandon, Laguna Niguel, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689072993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 67125 (California) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT100815 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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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 |
---|---|
Mitra Golriz, LMFT 24551 Del Prado, Dana Point, CA 92629-6200 Ph: (949) 297-6737 | Mitra Golriz, LMFT 131 Chandon, Laguna Niguel, CA 92677-5732 Ph: (949) 297-6737 |
Mr. Ronald Bryan Treadway, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: Po Box 6894, Laguna Niguel, CA 92607 Phone: 949-795-1088 | |
Ms. Linda G. Abramson, M. A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr, Suite 104, Laguna Niguel, CA 92677 Phone: 949-657-0636 | |
Gregory Baxter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 28202 Cabot Rd Ste 300, Laguna Niguel, CA 92677 Phone: 949-354-3681 | |
Jeniffer Mcmackin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 27601 Forbes Rd Ste 49, Laguna Niguel, CA 92677 Phone: 949-403-5006 | |
Stacy Lavino, MFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30131 Town Center Dr, Suite #292, Laguna Niguel, CA 92677 Phone: 949-873-4673 | |
Erin Fennell, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 28202 Cabot Rd Ste 300, Laguna Niguel, CA 92677 Phone: 949-478-5288 | |
Anne Cynn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5 Santa Barbara Pl, Laguna Niguel, CA 92677 Phone: 949-330-0539 |