| Charles Lewis Md Professional Corporation | |
|
8318 University Ave Suite A5 La Mesa CA 91942-3865 | |
| (619) 579-2187 | |
| (619) 579-2187 |
| Full Name | Charles Lewis Md Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8318 University Ave, La Mesa, California |
| Authorized Official Name and Position | Stephanie E Shell (BILLING AGENT) |
| Authorized Official Contact | 7605397700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Lewis Md Professional Corporation 8318 University Ave Suite A5 La Mesa CA 91942-9358 Ph: (619) 579-2187 | Charles Lewis Md Professional Corporation 8318 University Ave Suite A5 La Mesa CA 91942-3865 Ph: (619) 579-2187 |
| NPI Number | 1972780575 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 11/03/2014 |
| Medicare PECOS PAC ID | 5092907964 |
|---|---|
| Medicare Enrollment ID | O20101011000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972780575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS9115 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C33286 (California) | Primary |
| Provider Name | Charles Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346271194 PECOS PAC ID: 2769674621 Enrollment ID: I20101011000393 |
Not Applicable Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 Parkway Dr, La Mesa, CA 91942 Phone: 619-291-6040 Fax: 858-453-6149 | |
La Mesa Counseing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8058 La Mesa Blvd, La Mesa, CA 91942 Phone: 858-848-1766 | |
Mobile Neurology Of San Diego Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8851 Center Dr, Suite 603, La Mesa, CA 91942 Phone: 619-667-4545 | |
A New Path Psychotherapy, Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4323 Palm Ave Ste A, La Mesa, CA 91941 Phone: 619-315-8909 | |
Open Mind Mental Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5241 Alzeda Dr, La Mesa, CA 91941 Phone: 619-940-0042 | |
Counseling & Behavioral Specialists, Afcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9029 Park Plaza Dr, Suite #101, La Mesa, CA 91942 Phone: 619-697-0470 Fax: 619-697-0505 | |
Listening Post Counseling And Consulting Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8900 Grossmont Blvd # 4-3, La Mesa, CA 91941 Phone: 858-380-7691 |