| Palecek,inc. | |
|
260 H Ave Coronado CA 92118-1222 | |
| (619) 519-2554 | |
| Not Available |
| Full Name | Palecek,inc. |
|---|---|
| Speciality | Psychologist |
| Location | 260 H Ave, Coronado, California |
| Authorized Official Name and Position | Glory Ann Palecek (PRESIDENT) |
| Authorized Official Contact | 6195192554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palecek,inc. 260 H Ave Coronado CA 92118-1222 Ph: (619) 519-2554 | Palecek,inc. 260 H Ave Coronado CA 92118-1222 Ph: (619) 519-2554 |
| NPI Number | 1679827778 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 10/29/2012 |
| Medicare PECOS PAC ID | 3173768777 |
|---|---|
| Medicare Enrollment ID | O20130403000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679827778 | NPI | - | NPPES |
| 1508193491 | Other | CA | TRICARE |
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