| Mrs Ada Isabel Reveles, | |
|
6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 | |
| (714) 736-0231 | |
| (714) 736-0895 |
| Full Name | Mrs Ada Isabel Reveles |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 16 Years |
| Location | 6301 Beach Blvd, Buena Park, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619021235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soultenders Inc | 6507170453 | 111 |
| Entity Name | Soultenders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ada Isabel Reveles, 6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 Ph: (714) 736-0231 | Mrs Ada Isabel Reveles, 6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 Ph: (714) 736-0231 |
Susan Soojin Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7212 Orangethorpe Ave Ste 8, Buena Park, CA 90621 Phone: 714-449-1125 | |
Ashley Rifsdal, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6885 Orangethorpe Ave, Buena Park, CA 90620 Phone: 714-522-8412 | |
Jodie Reddingius Tintorer, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6885 Orangethorpe Ave, Buena Park, CA 90620 Phone: 714-522-8412 | |
Jesse Steven Nova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8833 Academy Dr, Buena Park, CA 90621 Phone: 818-675-1009 | |
Kwang Ho Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7212 Orangethorpe Ave, Buena Park, CA 90621 Phone: 714-449-1125 | |
Mo Se Kim, Counselor Medicare: Medicare Enrolled Practice Location: 6930 Beach Blvd Unit L141, Buena Park, CA 90621 Phone: 714-872-2291 | |
Euna Lim Park, Counselor Medicare: Accepting Medicare Assignments Practice Location: 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621 Phone: 714-503-6550 Fax: 714-509-0886 |