Mr Owonda Alli Epiphany, is a
Psychologist based in El Cajon, California. Mr Owonda Alli Epiphany is licensed to practice in California (license number 94024790) and his current practice location is
1000 Broadway, El Cajon, California. He can be reached at his office (for appointments etc.) via phone at
(619) 401-5424.
NPI number for Mr Owonda Alli Epiphany is 1558828517 and his current mailing address is 1000 Broadway, El Cajon, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558828517.
Healthcare Provider's Profile
| Full Name | Mr Owonda Alli Epiphany |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
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| Location | 1000 Broadway, El Cajon, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558828517
- Provider Enumeration Date: 02/26/2019
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Mr Owonda Alli Epiphany such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558828517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 94024790 (California) | Secondary |
| 103T00000X | Psychologist | 94024790 (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. Mr Owonda Alli Epiphany 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 |
|---|
Mr Owonda Alli Epiphany,
1000 Broadway,
El Cajon, CA 92021-7417
Ph: (619) 401-5424 | Mr Owonda Alli Epiphany,
1000 Broadway,
El Cajon, CA 92021-7417
Ph: (619) 401-5424 |
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