| Estelita B. Calica, M.d., Apc. | |
|
1505 Wilson Ter Ste 230 Glendale CA 91206-4074 | |
| (818) 546-1515 | |
| Not Available |
| Full Name | Estelita B. Calica, M.d., Apc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1505 Wilson Ter Ste 230, Glendale, California |
| Authorized Official Name and Position | Andy H Truong (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 8185461515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estelita B. Calica, M.d., Apc. 1505 Wilson Ter Ste 230 Glendale CA 91206-4074 Ph: (818) 546-1515 | Estelita B. Calica, M.d., Apc. 1505 Wilson Ter Ste 230 Glendale CA 91206-4074 Ph: (818) 546-1515 |
| NPI Number | 1366717431 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 03/21/2012 |
| Medicare PECOS PAC ID | 0749440535 |
|---|---|
| Medicare Enrollment ID | O20120402000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366717431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | C41189 (California) | Primary |
| Provider Name | Estelita B. Calica |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548368665 PECOS PAC ID: 9739349523 Enrollment ID: I20120402000699 |
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