Pug Therapy | |
2103 S El Camino Real Ste 206 Oceanside CA 92054-6281 | |
(442) 500-8548 | |
(760) 400-8379 |
Full Name | Pug Therapy |
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Speciality | Clinic/Center |
Location | 2103 S El Camino Real Ste 206, Oceanside, California |
Authorized Official Name and Position | Sibelia L Chaiyahat (PRESIDENT) |
Authorized Official Contact | 4425008548 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pug Therapy 2103 S El Camino Real Ste 206 Oceanside CA 92054-6281 Ph: (442) 500-8548 | Pug Therapy 2103 S El Camino Real Ste 206 Oceanside CA 92054-6281 Ph: (442) 500-8548 |
NPI Number | 1447834908 |
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Provider Enumeration Date | 05/11/2021 |
Last Update Date | 05/13/2023 |
Certification Date | 05/13/2023 |
Medicare PECOS PAC ID | 6406219211 |
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Medicare Enrollment ID | O20230828000900 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447834908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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