Charis Mae T Bulosan, is a
Psychologist based in San Pedro, California. Charis Mae T Bulosan is licensed to practice in * (Not Available) (license number ) and her current practice location is
624 W 9th St Ste 103, San Pedro, California. She can be reached at her office (for appointments etc.) via phone at
(310) 775-3843.
NPI number for Charis Mae T Bulosan is 1457005076 and her current mailing address is 624 W 9th St Ste 103, San Pedro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457005076.
Healthcare Provider's Profile
| Full Name | Charis Mae T Bulosan |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 624 W 9th St Ste 103, San Pedro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457005076
- Provider Enumeration Date: 02/11/2022
- Last Update Date: 04/20/2022
Medical Identifiers
Medical identifiers for Charis Mae T Bulosan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457005076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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. Charis Mae T Bulosan 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 |
|---|
Charis Mae T Bulosan,
624 W 9th St Ste 103,
San Pedro, CA 90731-3158
Ph: (562) 774-3391 | Charis Mae T Bulosan,
624 W 9th St Ste 103,
San Pedro, CA 90731-3158
Ph: (310) 775-3843 |
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