| Brandon Kyle Guresky, | |
|
14019 Aztec St, Sylmar, CA 91342-4102 | |
| (818) 859-5277 | |
| Not Available |
| Full Name | Brandon Kyle Guresky |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 14019 Aztec St, Sylmar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114059359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF49395 (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 |
|---|---|
| Brandon Kyle Guresky, 14019 Aztec St, Sylmar, CA 91342-4102 Ph: (818) 859-5277 | Brandon Kyle Guresky, 14019 Aztec St, Sylmar, CA 91342-4102 Ph: (818) 859-5277 |
Tise Chao, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 12669 Encinitas Ave, Sylmar, CA 91342 Phone: 800-700-8705 | |
Elizabeth Jolene Rousseau, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11600 Eldridge Ave, Sylmar, CA 91342 Phone: 818-686-3000 | |
Mrs. Patricia Gordan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13471 Egbert St, Sylmar, CA 91342 Phone: 818-298-3001 | |
Evline Kamarzarian, Couples Therapy Medicare: Medicare Enrolled Practice Location: 12699 Encinitas, Sylmar, CA 91342 Phone: 818-235-8587 | |
Sara Leconte, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12610 Glenoaks Blvd, Sylmar, CA 91342 Phone: 818-361-4111 Fax: 818-361-7584 | |
Dr. Lisabeth Colorado, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12751 Cameron Ave, Sylmar, CA 91342 Phone: 818-754-4571 |