Teddy R Pascual, is a
Psychologist based in Greendale, California. Teddy R Pascual is licensed to practice in Utah (license number 12345689-1234) and his current practice location is
330n Brand Blvd, Greendale, California. He can be reached at his office (for appointments etc.) via phone at
(213) 433-4432.
NPI number for Teddy R Pascual is 1194459529 and his current mailing address is 330n Brand Blvd, Greendale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194459529.
Healthcare Provider's Profile
| Full Name | Teddy R Pascual |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist |
|---|
| Location | 330n Brand Blvd, Greendale, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194459529
- Provider Enumeration Date: 07/12/2022
- Last Update Date: 07/12/2022
Medical Identifiers
Medical identifiers for Teddy R Pascual such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194459529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 12345689-1234 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teddy R Pascual is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Teddy R Pascual,
330n Brand Blvd,
Greendale, CA 90039
Ph: () - | Teddy R Pascual,
330n Brand Blvd,
Greendale, CA 90039
Ph: (213) 433-4432 |
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