| Mr Andrew Lazo, | |
|
12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | |
| (714) 620-8131 | |
| Not Available |
| Full Name | Mr Andrew Lazo |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 12800 Garden Grove Blvd Ste F, Garden Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407242001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Tri-state Community Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922356369 PECOS PAC ID: 5597991968 Enrollment ID: O20131114000307 |
| Entity Name | Center For New Directions, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578121190 PECOS PAC ID: 9335475870 Enrollment ID: O20190722003529 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Lazo, 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843 Ph: (714) 620-8131 | Mr Andrew Lazo, 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 Ph: (714) 620-8131 |
Ms. Hieu Doan Pham, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12371 Lewis St Ste 202, Garden Grove, CA 92840 Phone: 657-203-2472 | |
Julian Jesus Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12141 Brookhurst St Ste 201, Garden Grove, CA 92840 Phone: 657-261-7140 Fax: 714-922-1032 | |
Scott David Roupe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12781 Josephine St, Garden Grove, CA 92841 Phone: 657-251-0503 | |
Caleb Andrew Weber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 Brookhurst St, Garden Grove, CA 92840 Phone: 714-638-8277 | |
Jasson Vega, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12141 Brookhurst St, Garden Grove, CA 92840 Phone: 714-296-1934 | |
Ms. Grace Doanhanh Le, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12912 Brookhurst St Ste 420, Garden Grove, CA 92840 Phone: 714-636-9095 | |
Yen Hoang Ly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12781 Josephine St, Garden Grove, CA 92841 Phone: 657-251-0503 |