| Michael James Quinn, | |
|
28035 Dorothy Dr, Suite 110, Agoura Hills, CA 91301-2672 | |
| (310) 302-7230 | |
| Not Available |
| Full Name | Michael James Quinn |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 28035 Dorothy Dr, Agoura Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063842557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 94188 (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 |
|---|---|
| Michael James Quinn, 19025 Ingomar St, Reseda, CA 91335-1718 Ph: (310) 302-7230 | Michael James Quinn, 28035 Dorothy Dr, Suite 110, Agoura Hills, CA 91301-2672 Ph: (310) 302-7230 |
Cynthia Tl Edelstein, Couples Therapy Medicare: Medicare Enrolled Practice Location: 30101 Agoura Ct Ste 150, Agoura Hills, CA 91301 Phone: 805-433-5200 | |
Ms. Nancy Ann Nasser, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30497 Canwood St Ste 103, Agoura Hills, CA 91301 Phone: 805-622-0026 | |
Zoe Gillis, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5539 Rainbow Crest Dr, Agoura Hills, CA 91301 Phone: 818-661-8164 | |
Lindsey Budd, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30423 Canwood St Ste 129, Agoura Hills, CA 91301 Phone: 818-261-3676 | |
Jamshid Veria Farahyar, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30101 Agoura Ct Ste 111, Agoura Hills, CA 91301 Phone: 415-756-1877 | |
Miranda Alayne Rich, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778 | |
Jill Michele Black, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 30101 Agoura Ct, Lobby 3 Suite 150, Agoura Hills, CA 91301 Phone: 805-657-2511 Fax: 805-856-2219 |