MAGGIE FONG LAW (NPI# 1184095424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184095424 |
| Entity Type | Individual |
| Full Name | MAGGIE FONG LAW |
| Credential | LMFT |
| Practice Address |
4740 N Grand Ave Covina CA 91724 |
| Mailing Address |
4740 N Grand Ave Covina CA 91724-2005 |
| Practice Telephone | 6268592089 |
| Practice Fax Number | 6268596537 |
| Mailing Telephone | 6268592089 |
| Mailing Fax Number | 6268596537 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT106177 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF63698 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760450480 | Maggie S.w. Law | Internal Medicine | 350 S 40th St, Ccom Medical Group, Muskogee, OK 74401-4915 | 2006-03-09 |
| Street Address |
4740 N GRAND AVE |
| City | COVINA |
| State | CA |
| Zip Code | 91724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205979960 | Roxana Maselli | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2007-02-14 |
| 1093312266 | Elsa Elizalde | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2020-10-01 |
| 1790382950 | Brandon Funes | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2020-10-01 |
| 1013567999 | Sandra Hernandez-chavez | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-09-12 |
| 1144879370 | Ismael L. Ramirez | Licensed Psychiatric Technician | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-09-10 |
| 1750849295 | Sylvia Arias | Licensed Psychiatric Technician | 4740 N Grand Ave, Covina, CA 91724-2005 | 2019-03-04 |
| 1912475997 | Erika R Ozuna | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2018-11-07 |
| 1528536760 | Diandra Elise La Croix | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2018-11-06 |
| 1780164061 | Gabrielle N Kubulan | Counselor | 4740 N Grand Ave, Covina, CA 91724-2005 | 2018-08-16 |
| 1215415096 | Jennifer K Flores | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724 | 2018-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1689194680 | Cynthia Garcia | Counselor | 1359 N. Grand Ave., Covina, CA 91724 | 2017-06-21 |
| 1386191963 | West Covina Group Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1274 Center Court Dr, #208, Covina, CA 91724 | 2016-09-01 |
| 1184094781 | Veronica May Roberts | Licensed Vocational Nurse | 222 S. Wilson Ave, Covina, CA 91724 | 2015-09-25 |
| 1912216292 | Joan Mendoza | Social Worker | 1338 Center Court Dr Ste 107, Covina, CA 91724 | 2010-10-04 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1154534212 | Verna L Lewis | Marriage & Family Therapist | 420 South Grand Ave., Covina, CA 91724 | 2007-05-07 |
| 1093937310 | Heather Annn Pedevillano | Specialist/Technologist | 1805 E. Lomira Dr, Covina, CA 91724 | 2007-05-03 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1417014085 | Bernadette Luyun Guaring Bagay | Dentist | 984 E Badillo St, Suite E, Covina, CA 91724 | 2007-01-03 |
| Find all providers in zip 91724 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326673914 | Blu Alliance Counseling Center | Marriage & Family Therapist | 1109 W San Bernardino Rd Ste 150, Covina, CA 91722-4156 | 2020-03-04 |
| 1740759224 | Diana Tuthill Hoover | Marriage & Family Therapist | 17829 E Benwood St, Covina, CA 91722-2613 | 2018-11-14 |
| 1467936674 | Together Family Counseling | Marriage & Family Therapist | 1274 Center Court Dr Ste 112, Covina, CA 91724-3668 | 2018-09-24 |
| 1083087191 | Marie Antonette Petitti | Marriage & Family Therapist | 100 S Citrus Ave Ste 206, Covina, CA 91723-2686 | 2015-11-11 |
| 1962880005 | Karen Allan | Marriage & Family Therapist | 416 E Badillo St, Covina, CA 91723-2213 | 2015-05-08 |
| 1760739056 | Raylene Elaine Angulo | Marriage & Family Therapist | 271 E. Workman St, Suite 101, Covina, CA 91723 | 2012-08-06 |
| 1033414586 | Jeffrey Lee Mancaruso | Marriage & Family Therapist | 508-510 S Second Ave, Covina, CA 91723 | 2011-01-13 |
| 1255564613 | Chong Yu | Marriage & Family Therapist | 1274 East Center Court Drive, #112, Covina, CA 91724-3668 | 2009-09-01 |
| 1427269315 | B&a Professional Servicces | Marriage & Family Therapist | 150 N. Grand Ave. Suite 212, Covina, CA 91790 | 2007-05-24 |
| 1861601148 | Bradford Lee Durian | Marriage & Family Therapist | 1406 N Grand Ave Apt L, Covina, CA 91724-1060 | 2007-05-22 |
| Find all providers in COVINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.