| Sandra Milstein Ostrom | |
|
12929 Pomerado Rd Poway CA 92064 | |
| (858) 215-1601 | |
| Not Available |
| Full Name | Sandra Milstein Ostrom |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 12929 Pomerado Rd, Poway, California |
| Authorized Official Name and Position | Sandra Milstein-ostrom (OWNER) |
| Authorized Official Contact | 8582151601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Milstein Ostrom 9921 Carmel Mountain Rd # 194 San Diego CA 92129-2813 Ph: () - | Sandra Milstein Ostrom 12929 Pomerado Rd Poway CA 92064 Ph: (858) 215-1601 |
| NPI Number | 1821746637 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 5092150326 |
|---|---|
| Medicare Enrollment ID | O20240227001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821746637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Sandra Raquel Milstein-ostrom |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548754351 PECOS PAC ID: 6901241231 Enrollment ID: I20240229001042 |
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