| Alderman And Marshall Inc. | |
|
5959 Mission Gorge Rd Ste 106 San Diego CA 92120-4019 | |
| (619) 260-1357 | |
| (619) 238-1460 |
| Full Name | Alderman And Marshall Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 5959 Mission Gorge Rd Ste 106, San Diego, California |
| Authorized Official Name and Position | Karen L Marshall (PRESIDENT) |
| Authorized Official Contact | 6192601357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alderman And Marshall Inc. 5959 Mission Gorge Rd Ste 106 San Diego CA 92120-4019 Ph: (619) 260-1357 | Alderman And Marshall Inc. 5959 Mission Gorge Rd Ste 106 San Diego CA 92120-4019 Ph: (619) 260-1357 |
| NPI Number | 1306163274 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/19/2020 |
| Medicare PECOS PAC ID | 5799813903 |
|---|---|
| Medicare Enrollment ID | O20100510000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306163274 | NPI | - | NPPES |
| 3692941 | Medicaid | CA | |
| 1205878212 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS15743 (California) | Primary |
| Provider Name | Karen L Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205878212 PECOS PAC ID: 1658409875 Enrollment ID: I20100510000425 |
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