Lisa Ajao, MFT INTERN is a
Rehabilitation Practitioner based in Pasadena, California. Lisa Ajao is licensed to practice in California (license number 58478) and her current practice location is
2550 E Foothill Blvd, Pasadena, California. She can be reached at her office (for appointments etc.) via phone at
(626) 744-5230.
NPI number for Lisa Ajao is 1710171962 and her current mailing address is 2550 E Foothill Blvd, Pasadena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710171962.
Healthcare Provider's Profile
| Full Name | Lisa Ajao |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 2550 E Foothill Blvd, Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710171962
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 12/04/2008
Medical Identifiers
Medical identifiers for Lisa Ajao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710171962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 58478 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | 58478 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Ajao is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Ajao, MFT INTERN 2550 E Foothill Blvd, Pasadena, CA 91107-3406 Ph: (626) 744-5230 | Lisa Ajao, MFT INTERN 2550 E Foothill Blvd, Pasadena, CA 91107-3406 Ph: (626) 744-5230 |
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