| Eddie Taracena, | |
|
6529 Riverside Ave Ste 160, Riverside, CA 92506-3100 | |
| (951) 836-0804 | |
| (714) 852-4026 |
| Full Name | Eddie Taracena |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 6529 Riverside Ave Ste 160, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841838554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 142479 (California) | Primary |
| Entity Name | College Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043354624 PECOS PAC ID: 4183767999 Enrollment ID: O20100415000405 |
| Entity Name | Silver Lake Psychology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932651817 PECOS PAC ID: 7012250582 Enrollment ID: O20190524000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Eddie Taracena, 3610 36th St, San Diego, CA 92104-4409 Ph: (909) 268-3402 | Eddie Taracena, 6529 Riverside Ave Ste 160, Riverside, CA 92506-3100 Ph: (951) 836-0804 |
Mrs. Victoria Eduvige Montes-vu, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3400 Central Ave Ste 310, Riverside, CA 92506 Phone: 951-363-3042 | |
Dr. Marco Antonio Elias-juarez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3125 Myers St, Riverside, CA 92503 Phone: 951-486-5022 | |
Clara G Garcia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6711 Arlington Ave Ste A, Riverside, CA 92504 Phone: 951-352-3943 | |
Ms. Cristina Margarita Zamora Garcia, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3499 10th St, Riverside, CA 92501 Phone: 951-358-4544 | |
Ms. Aine M. Bergin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6800 Indiana Ave Ste 130, Riverside, CA 92506 Phone: 951-684-6684 | |
Mr. Gregg W Starbuck, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3660 Park Sierra Dr Ste 109, Riverside, CA 92505 Phone: 951-743-5320 | |
Patti Rosenberg, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 555 Technology Ct, Riverside, CA 92507 Phone: 951-686-8500 |