Krissie Le-hermida | |
625 3rd Ave Chula Vista CA 91910-5703 | |
(619) 960-9645 | |
(619) 476-7566 |
Full Name | Krissie Le-hermida |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 625 3rd Ave, Chula Vista, California |
Authorized Official Name and Position | Krissie P Le-hermida (OWNER) |
Authorized Official Contact | 6199609645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Krissie Le-hermida 625 3rd Ave Chula Vista CA 91910-5703 Ph: (619) 960-9645 | Krissie Le-hermida 625 3rd Ave Chula Vista CA 91910-5703 Ph: (619) 960-9645 |
NPI Number | 1245426782 |
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Provider Enumeration Date | 09/19/2007 |
Last Update Date | 09/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245426782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCS15235 (California) | Primary |
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