| Soraiya Khamisa, | |
| 
					200 W Arbor Dr, San Diego, CA 92103-9000  | |
| (800) 926-8273 | |
| (888) 539-8781 | 
| Full Name | Soraiya Khamisa | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 200 W Arbor Dr, San Diego, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811254386 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 81951 (California) | Primary | 
| Entity Name | Regents Of The University Of California | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Soraiya Khamisa, Po Box 232410, San Diego, CA 92193-2410 Ph: () -  | Soraiya Khamisa, 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273  | 
Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000  | |
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496  | |
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556  | |
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534  | |
Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 654, San Diego, CA 92119 Phone: 619-382-8662  | |
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700  | |
Dawnn Marie Mendoza Guray, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123 Phone: 858-609-8742  |