| Centro De Psicologia Cultural, Inc | |
|
6136 Mission Gorge Rd Suite 129 San Diego CA 92120-3494 | |
| (619) 282-4270 | |
| (619) 282-4272 |
| Full Name | Centro De Psicologia Cultural, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 6136 Mission Gorge Rd, San Diego, California |
| Authorized Official Name and Position | Sonia I. Carbonell (PRESIDENT) |
| Authorized Official Contact | 6192824270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Psicologia Cultural, Inc 6136 Mission Gorge Rd Suite 129 San Diego CA 92120-3494 Ph: (619) 282-4270 | Centro De Psicologia Cultural, Inc 6136 Mission Gorge Rd Suite 129 San Diego CA 92120-3494 Ph: (619) 282-4270 |
| NPI Number | 1770898298 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 2567587843 |
|---|---|
| Medicare Enrollment ID | O20100909000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770898298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 19752 (California) | Primary |
| Provider Name | Sonia I Carbonell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902976343 PECOS PAC ID: 2466504014 Enrollment ID: I20090714000099 |
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