| Rosalba Vidal, | |
|
25078 Everett Dr, Newhall, CA 91321-3406 | |
| (166) 621-5097 | |
| Not Available |
| Full Name | Rosalba Vidal |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 25078 Everett Dr, Newhall, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306698774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 140765 (California) | Primary |
| Entity Name | Superclinic Professionals Medical Corp A California Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326564212 PECOS PAC ID: 6507120656 Enrollment ID: O20180817001682 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosalba Vidal, 25078 Everett Dr, Newhall, CA 91321-3406 Ph: (166) 621-5097 | Rosalba Vidal, 25078 Everett Dr, Newhall, CA 91321-3406 Ph: (166) 621-5097 |
Emily Skelton, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23550 Lyons Ave Ste 211, Newhall, CA 91321 Phone: 818-277-1848 Fax: 209-360-0090 | |
Lynda A Yniguez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23550 Lyons Ave Ste 211, Newhall, CA 91321 Phone: 661-367-1110 Fax: 661-532-8131 | |
Mrs. Susan Gruss Odekerken, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21137 Placerita Canyon Rd, Newhall, CA 91321 Phone: 661-857-0953 | |
Mrs. Nancy Garrett King, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23030 Lyons Ave, Suit 205, Newhall, CA 91321 Phone: 661-644-7803 | |
Ann Rochelle Hausman, LEP, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24359 Walnut St Ste A, Newhall, CA 91321 Phone: 661-287-0124 | |
Nancy Agosto, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23530 Stillwater Pl, Newhall, CA 91321 Phone: 661-505-2079 |