Preston Lopez, | |
1907 Boys Republic Dr, Chino Hills, CA 91709-5447 | |
(909) 628-1217 | |
(909) 627-9222 |
Full Name | Preston Lopez |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 1907 Boys Republic Dr, Chino Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710436894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PCC12278 (California) | Primary |
Entity Name | Anthony Martin Mills M D A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497172043 PECOS PAC ID: 1456404573 Enrollment ID: O20140701001965 |
Mailing Address | Practice Location Address |
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Preston Lopez, 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 Ph: (909) 628-1217 | Preston Lopez, 1907 Boys Republic Dr, Chino Hills, CA 91709-5447 Ph: (909) 628-1217 |
Mrs. Sheena Renee Henderson, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5871 Pine Ave Ste 230, Chino Hills, CA 91709 Phone: 909-597-2226 | |
Diana Seunghye On, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5939 Crestmont Dr, Chino Hills, CA 91709 Phone: 626-664-0462 | |
Elizabeth M Haynes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14505 Kramer Ranch Rd, Chino Hills, CA 91709 Phone: 909-740-3137 Fax: 909-306-5427 | |
Fabian Valdez Jr., MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 16357 Rainbow Ridge Rd, Chino Hills, CA 91709 Phone: 951-660-6878 | |
Michelle Ledonne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 Fax: 909-993-1106 | |
Federico Escobedo Jarque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1907 Boys Republic Dr, Chino Hills, CA 91709 Phone: 909-628-1217 | |
Judith Edmundson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3624 Margaret Fowler Ct, Chino Hills, CA 91709 Phone: 909-740-3133 Fax: 909-306-5427 |