| Ms Kathy G Phillips, LMFT | |
|
13781 Roswell Ave Ste C, Chino, CA 91710-5475 | |
| (626) 720-3954 | |
| Not Available |
| Full Name | Ms Kathy G Phillips |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 13781 Roswell Ave Ste C, Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689096760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | IMF78829 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT99809 (California) | 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 |
|---|---|
| Ms Kathy G Phillips, LMFT Po Box 93867, Pasadena, CA 91109-3867 Ph: (626) 720-3954 | Ms Kathy G Phillips, LMFT 13781 Roswell Ave Ste C, Chino, CA 91710-5475 Ph: (626) 720-3954 |
Liza Noemi Campos, LMFT113256 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12598 Central Ave Ste 202, Chino, CA 91710 Phone: 909-576-3889 | |
Rachael Juliette Ponce, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11800 Central Ave Ste 225, Chino, CA 91710 Phone: 653-063-4104 | |
Kimberly Kathryn Thompson, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 12598 Central Ave Ste 205, Chino, CA 91710 Phone: 909-576-3889 | |
Jordan Elizabeth Dale Ireland, MFTI Couples Therapy Medicare: Medicare Enrolled Practice Location: 5353 G St, Chino, CA 91710 Phone: 909-590-3700 | |
Mrs. Mayra J Rangel, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12970 3rd St, Chino, CA 91710 Phone: 909-628-1201 | |
Karina Morales, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8245 Inventor St, Chino, CA 91708 Phone: 602-769-4499 | |
Catherine Joy, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3833 Schaefer Ave Ste K, Chino, CA 91710 Phone: 909-590-2260 |