| Ryan M Magno, MSW | |
|
1510 Edanruth Ave, La Puente, CA 91746-1136 | |
| (626) 290-8679 | |
| Not Available |
| Full Name | Ryan M Magno |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1510 Edanruth Ave, La Puente, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336338920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ASW 20404 (California) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan M Magno, MSW 1510 Edanruth Ave, La Puente, CA 91746-1136 Ph: () - | Ryan M Magno, MSW 1510 Edanruth Ave, La Puente, CA 91746-1136 Ph: (626) 290-8679 |
Ms. Liliana Munoz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Annielynn Dayao Ibale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 S 7th Ave, La Puente, CA 91746 Phone: 626-961-8971 | |
Analecia Janet Guthrie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15743 Hayland St, La Puente, CA 91744 Phone: 865-237-5951 | |
Diana T. Mendez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 S. 7th Ave, La Puente, CA 91744 Phone: 626-961-8971 | |
Nico Tank, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15229 Amar Rd, La Puente, CA 91744 Phone: 626-855-5090 | |
Mr. Mario Israel Moreno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15229 Amar Rd, La Puente, CA 91744 Phone: 626-855-5090 Fax: 626-961-1810 | |
Mrs. Elsie Marie Pride, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15229 Amar Rd, La Puente, CA 91744 Phone: 626-855-5090 |