| Samuel O T Etchie Md Inc | |
|
7200 Parkway Dr Ste 109 La Mesa CA 91942-1534 | |
| (619) 303-8363 | |
| (619) 303-8364 |
| Full Name | Samuel O T Etchie Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7200 Parkway Dr Ste 109, La Mesa, California |
| Authorized Official Name and Position | Samuel Ot Etchie (OWNER) |
| Authorized Official Contact | 6192779887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel O T Etchie Md Inc 7770 Regents Rd # 130 San Diego CA 92122-1937 Ph: (619) 277-9887 | Samuel O T Etchie Md Inc 7200 Parkway Dr Ste 109 La Mesa CA 91942-1534 Ph: (619) 303-8363 |
| NPI Number | 1346669157 |
|---|---|
| Provider Enumeration Date | 04/09/2014 |
| Last Update Date | 04/09/2014 |
| Medicare PECOS PAC ID | 8820220577 |
|---|---|
| Medicare Enrollment ID | O20140410001623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346669157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A53857 (California) | Primary |
| Provider Name | Samuel O Etchie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124039052 PECOS PAC ID: 2769584853 Enrollment ID: I20070220000463 |
Not Applicable Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 Parkway Dr, La Mesa, CA 91942 Phone: 619-291-6040 Fax: 858-453-6149 | |
La Mesa Counseing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8058 La Mesa Blvd, La Mesa, CA 91942 Phone: 858-848-1766 | |
Mobile Neurology Of San Diego Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8851 Center Dr, Suite 603, La Mesa, CA 91942 Phone: 619-667-4545 | |
A New Path Psychotherapy, Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4323 Palm Ave Ste A, La Mesa, CA 91941 Phone: 619-315-8909 | |
Open Mind Mental Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5241 Alzeda Dr, La Mesa, CA 91941 Phone: 619-940-0042 | |
Counseling & Behavioral Specialists, Afcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9029 Park Plaza Dr, Suite #101, La Mesa, CA 91942 Phone: 619-697-0470 Fax: 619-697-0505 | |
Listening Post Counseling And Consulting Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8900 Grossmont Blvd # 4-3, La Mesa, CA 91941 Phone: 858-380-7691 |