Ms Maxine Luz Villavicencio Pulliam, - Counselor in Irvine, CA

Ms Maxine Luz Villavicencio Pulliam, is a Counselor based in Irvine, California. Ms Maxine Luz Villavicencio Pulliam is licensed to practice in * (Not Available) (license number ) and her current practice location is 22 Crockett, Irvine, California. She can be reached at her office (for appointments etc.) via phone at (650) 245-2516.

NPI number for Ms Maxine Luz Villavicencio Pulliam is 1376876490 and her current mailing address is 22 Crockett, Irvine, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376876490.

Contact Information

Ms Maxine Luz Villavicencio Pulliam,
22 Crockett,
Irvine, CA 92620-3331
(650) 245-2516
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Maxine Luz Villavicencio Pulliam
GenderFemale
SpecialityCounselor
Location22 Crockett, Irvine, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376876490
  • Provider Enumeration Date: 09/08/2009
  • Last Update Date: 09/08/2009

Medical Identifiers

Medical identifiers for Ms Maxine Luz Villavicencio Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376876490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))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. Ms Maxine Luz Villavicencio Pulliam 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 AddressPractice Location Address
Ms Maxine Luz Villavicencio Pulliam,
22 Crockett,
Irvine, CA 92620-9262

Ph: (650) 245-2516
Ms Maxine Luz Villavicencio Pulliam,
22 Crockett,
Irvine, CA 92620-3331

Ph: (650) 245-2516

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