| Lisa-marie Gonzalez, | |
|
160 E Holt Ave Ste B, Pomona, CA 91767-5407 | |
| (909) 620-2521 | |
| Not Available |
| Full Name | Lisa-marie Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 160 E Holt Ave Ste B, Pomona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710286034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 111466 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa-marie Gonzalez, 160 E Holt Ave Ste B, Pomona, CA 91767-5407 Ph: (909) 620-2521 | Lisa-marie Gonzalez, 160 E Holt Ave Ste B, Pomona, CA 91767-5407 Ph: (909) 620-2521 |
Mrs. Bernice Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 490 W Mission Blvd, Pomona, CA 91766 Phone: 213-334-5752 | |
Maydy Bran-orona, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 E Holt Ave Ste B, Pomona, CA 91767 Phone: 909-620-2521 | |
Cameron Sidney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6391 | |
Angela Robin Arakelian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 E Arrow Hwy, Pomona, CA 91767 Phone: 909-624-1233 | |
Addison Hawthorne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2008 N Garey Ave, Pomona, CA 91767 Phone: 909-623-6131 | |
Jannett Rodriguez, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 837 E Arrow Hwy, Pomona, CA 91767 Phone: 909-997-7462 | |
Liliana Mireles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2180 Valley Blvd, Pomona, CA 91768 Phone: 909-865-1831 |