| Rachel Weldon, | |
|
1227 E Los Angeles Ave, Simi Valley, CA 93065-2871 | |
| (805) 582-4080 | |
| (805) 579-6010 |
| Full Name | Rachel Weldon |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1227 E Los Angeles Ave, Simi Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649533399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | 53196 (California) | 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 |
|---|---|
| Rachel Weldon, 1227 E Los Angeles Ave, Simi Valley, CA 93065-2871 Ph: () - | Rachel Weldon, 1227 E Los Angeles Ave, Simi Valley, CA 93065-2871 Ph: (805) 582-4080 |
Jeffrey Alan Avants, MA, LMFT, CADC II, Counselor Medicare: Medicare Enrolled Practice Location: 3150 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-577-0839 Fax: 805-577-0839 | |
Madlen Ayvazian, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Mollison Dr, Simi Valley, CA 93065 Phone: 805-941-0289 | |
Michelle Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065 Phone: 805-522-1845 | |
Liana L Mccoy, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Vista Hermosa, Simi Valley, CA 93065 Phone: 805-279-9999 | |
Dr. Susan Tuttle, PH.D., MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2345 Erringer Rd, Suite 209, Simi Valley, CA 93065 Phone: 805-584-1732 Fax: 805-584-8368 | |
Daniel Joseph Holcomb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1997 Ridgegate Ln Apt K, Simi Valley, CA 93065 Phone: 818-298-0249 | |
Michael Adam Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-582-4068 |