| Probill Consulting Services, Inc. | |
|
10736 Jefferson Blvd # 676 Culver City CA 90230-4933 | |
| (818) 612-2974 | |
| Not Available |
| Full Name | Probill Consulting Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 10736 Jefferson Blvd # 676, Culver City, California |
| Authorized Official Name and Position | Luis F Rodriguez (CEO) |
| Authorized Official Contact | 8186122974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Probill Consulting Services, Inc. 10736 Jefferson Blvd # 676 Culver City CA 90230-4933 Ph: (818) 612-2974 | Probill Consulting Services, Inc. 10736 Jefferson Blvd # 676 Culver City CA 90230-4933 Ph: (818) 612-2974 |
| NPI Number | 1598399628 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Medicare PECOS PAC ID | 8123439361 |
|---|---|
| Medicare Enrollment ID | O20230117001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598399628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Donald Gene Rubish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417343823 PECOS PAC ID: 2163740259 Enrollment ID: I20190522000918 |
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