Dr Balaji Nettimi, | |
42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | |
(760) 799-1000 | |
Not Available |
Full Name | Dr Balaji Nettimi |
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Gender | Male |
Speciality | Psychologist |
Location | 42525 Rancho Mirage Ln, Rancho Mirage, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285882175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY 23115 (California) | Primary |
Entity Name | Harbor Psychiatry & Mental Health Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062 |
Mailing Address | Practice Location Address |
---|---|
Dr Balaji Nettimi, 13332 Silver Stirrup Dr, Corona, CA 92883-7932 Ph: (760) 799-1000 | Dr Balaji Nettimi, 42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 Ph: (760) 799-1000 |
Joseph Edward Morrow Jr., PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-837-8767 Fax: 760-837-8806 | |
Dr. Ray Montella, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 69730 Highway 111, Suite 109, Rancho Mirage, CA 92270 Phone: 760-835-2419 | |
Carole Dozier, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42-600 Bob Hope Drive, #413, Rancho Mirage, CA 92270 Phone: 760-325-8649 Fax: 951-845-5782 | |
Dr. Kay L. Vogt, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 71777 San Jacinto Dr, Rancho Mirage, CA 92270 Phone: 312-330-3094 | |
Dr. Paulette A. Rogers, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41750 Rancho Las Palmas Dr, Ste L-6, Desert Counseling & Assessment Center-agua Bl, Rancho Mirage, CA 92270 Phone: 415-317-5718 | |
Mark C Heffernan, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 47 Provence Way, Rancho Mirage, CA 92270 Phone: 760-902-6226 |