| Perla Vea Gastelum, | |
|
1360 N Main St, Bishop, CA 93514-3013 | |
| (760) 873-6533 | |
| (760) 873-3277 |
| Full Name | Perla Vea Gastelum |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1360 N Main St, Bishop, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073154282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 138024 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 138024 (California) | Primary |
| Entity Name | County Of Inyo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386749091 PECOS PAC ID: 1052457561 Enrollment ID: O20091013000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Perla Vea Gastelum, Po Box 1408, Mammoth Lakes, CA 93546-1408 Ph: (760) 709-0896 | Perla Vea Gastelum, 1360 N Main St, Bishop, CA 93514-3013 Ph: (760) 873-6533 |
Maria Lourdes Gonzalez, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 130 Mesa Vista Dr, Bishop, CA 93514 Phone: 760-937-6473 | |
Crystal West, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 212 Grove St, Bishop, CA 93514 Phone: 760-872-2418 | |
Janet Malinda Kennedy, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 67 Lucas Rd, Bishop, CA 93514 Phone: 760-873-4959 | |
Robert James Bowman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 | |
Michelle Leann Saenz, MFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 52 Tu Su Lane, Bishop, CA 93514 Phone: 760-873-8464 Fax: 760-873-3935 | |
Jared Nilsson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1360 N Main St Ste 124, Bishop, CA 93514 Phone: 760-874-3613 | |
Serena Rose Renda, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1360 N Main St Ste 124, Bishop, CA 93514 Phone: 347-885-1469 |