| Edelpaulette Jane Tumbali Pugh, | |
|
374 H St, Chula Vista, CA 91910-5547 | |
| (619) 510-8480 | |
| Not Available |
| Full Name | Edelpaulette Jane Tumbali Pugh |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 374 H St, Chula Vista, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902383334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT140237 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | LMFT140237 (California) | Primary |
| Entity Name | Dymphna San Diego Tms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255951620 PECOS PAC ID: 7517389018 Enrollment ID: O20200629002123 |
| Entity Name | Genesis Medical Health A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811742307 PECOS PAC ID: 9032655576 Enrollment ID: O20240722000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Edelpaulette Jane Tumbali Pugh, 5565 Grossmont Center Dr Ste 229, La Mesa, CA 91942-3026 Ph: (858) 342-4572 | Edelpaulette Jane Tumbali Pugh, 374 H St, Chula Vista, CA 91910-5547 Ph: (619) 510-8480 |
Stephanie Velbis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 Medical Center Ct, Chula Vista, CA 91911 Phone: 691-397-6931 | |
Jacquelin L Lyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1735 Melrose Ave Unit 53, Chula Vista, CA 91911 Phone: 619-426-0926 | |
Michael Lozano, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 264 Landis Ave Ste 200, Chula Vista, CA 91910 Phone: 619-997-6851 | |
Raul Franco, CADC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 N 2nd Ave Ste B, Chula Vista, CA 91910 Phone: 619-426-4801 Fax: 619-426-0034 | |
Jamie Rhine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 855 3rd Ave Ste 1110, Chula Vista, CA 91911 Phone: 619-934-5770 | |
Alicia Arce Bravo, P.P.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 670 Flower St, Chula Vista, CA 91910 Phone: 760-234-8012 | |
Cordelia Woodhouse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1105 Broadway, Suite 207, Chula Vista, CA 91911 Phone: 619-425-5609 Fax: 619-425-8349 |