| Bright Balance Inc | |
|
10517 Oak Creek Dr Lakeside CA 92040-1624 | |
| (619) 933-3130 | |
| Not Available |
| Full Name | Bright Balance Inc |
|---|---|
| Speciality | Social Worker |
| Location | 10517 Oak Creek Dr, Lakeside, California |
| Authorized Official Name and Position | Julia Johnson (OWNER) |
| Authorized Official Contact | 6199333130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Balance Inc 10517 Oak Creek Dr Lakeside CA 92040-1624 Ph: (619) 933-3130 | Bright Balance Inc 10517 Oak Creek Dr Lakeside CA 92040-1624 Ph: (619) 933-3130 |
| NPI Number | 1770349078 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 3072952241 |
|---|---|
| Medicare Enrollment ID | O20240419003654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770349078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julia Wiscombe Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972656031 PECOS PAC ID: 3577928258 Enrollment ID: I20230502002368 |
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