| Lucidity Sleep And Psychiatry | |
|
450 S Melrose Dr Vista CA 92081-6674 | |
| (760) 650-2290 | |
| (760) 400-3026 |
| Full Name | Lucidity Sleep And Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 450 S Melrose Dr, Vista, California |
| Authorized Official Name and Position | Kristen Lamarca (OWNER) |
| Authorized Official Contact | 7606502290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucidity Sleep And Psychiatry 450 S Melrose Dr Vista CA 92081-6674 Ph: (760) 650-2290 | Lucidity Sleep And Psychiatry 450 S Melrose Dr Vista CA 92081-6674 Ph: (760) 650-2290 |
| NPI Number | 1144734906 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 8628328895 |
|---|---|
| Medicare Enrollment ID | O20180910000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144734906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | A125903 (California) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 2016042897 (Missouri) | Secondary |
| Provider Name | Kristen Lamarca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962660332 PECOS PAC ID: 5395064406 Enrollment ID: I20150512000242 |
| Provider Name | Nevin Arora |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518191949 PECOS PAC ID: 9436379021 Enrollment ID: I20170302002005 |
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