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1096 Calimesa Blvd Ste 110 Calimesa CA 92320-1563 | |
| (951) 800-5213 | |
| (951) 221-5274 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 1096 Calimesa Blvd Ste 110, Calimesa, California |
| Authorized Official Name and Position | Robbin S Caneva (LCSW) |
| Authorized Official Contact | 9515320712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1096 Calimesa Blvd Ste 110 Calimesa CA 92320-1563 Ph: (951) 800-5213 | 1096 Calimesa Blvd Ste 110 Calimesa CA 92320-1563 Ph: (951) 800-5213 |
| NPI Number | 1457052318 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 5991230955 |
|---|---|
| Medicare Enrollment ID | O20241127001970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457052318 | NPI | - | NPPES |
| 272517621 | Other | CA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robbin S Caneva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194044347 PECOS PAC ID: 6204237993 Enrollment ID: I20210701002787 |
Calimesa Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1096 Calimesa Blvd Ste D210, Calimesa, CA 92320 Phone: 951-572-2415 | |