Perla Vea Gastelum, | |
1360 N Main St, Bishop, CA 93514-3013 | |
(760) 873-6533 | |
(760) 873-3277 |
Full Name | Perla Vea Gastelum |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1360 N Main St, Bishop, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073154282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101Y00000X | Counselor | 138024 (California) | Primary |
Entity Name | County Of Inyo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386749091 PECOS PAC ID: 1052457561 Enrollment ID: O20091013000651 |
Mailing Address | Practice Location Address |
---|---|
Perla Vea Gastelum, Po Box 1408, Mammoth Lakes, CA 93546-1408 Ph: (760) 709-0896 | Perla Vea Gastelum, 1360 N Main St, Bishop, CA 93514-3013 Ph: (760) 873-6533 |
Karen Planchon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-872-3277 | |
Ms. Katharine Paquette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1360 N Main St Ste 124, Bishop, CA 93514 Phone: 760-872-2590 Fax: 760-873-3277 | |
Mr. Mark Joseph Kalin, Counselor Medicare: Medicare Enrolled Practice Location: 162j Grove St, Bishop, CA 93514 Phone: 760-873-6533 | |
Noni Marie Steedle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 | |
Paula Jean Friedrichsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162j Grove St, Bishop, CA 93514 Phone: 760-873-5888 | |
Peter Charley Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 |