| Mr William Randall Iv, LMFT | |
|
336 Oxford St, Chula Vista, CA 91911-3120 | |
| (619) 855-2429 | |
| Not Available |
| Full Name | Mr William Randall Iv |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 336 Oxford 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 |
|---|---|---|---|
| 1518327618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 139589 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Randall Iv, LMFT 2525 Highland Ave Unit 121, National City, CA 91950-7082 Ph: (619) 855-2429 | Mr William Randall Iv, LMFT 336 Oxford St, Chula Vista, CA 91911-3120 Ph: (619) 855-2429 |
Tina Tumberian, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 730 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-615-0701 | |
Amanda Mckay Rabago, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1161 Bay Blvd Ste B, Chula Vista, CA 91911 Phone: 619-585-7686 | |
Sarah Gogarty, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 766 Seaside St, Chula Vista, CA 91910 Phone: 650-393-3251 | |
Ms. Marie Anya Perez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1107 Magellan Way, Chula Vista, CA 91910 Phone: 619-540-7558 | |
Mrs. Christy Lynn Garcia, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 680 Old Telegraph Canyon Rd Ste 202, Chula Vista, CA 91910 Phone: 619-494-0754 Fax: 619-650-5468 | |
Marilee Valine-foley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 515 Ocean Breeze Way, Chula Vista, CA 91914 Phone: 858-836-8449 | |
Mrs. Martha Terres De Schmidt, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 430 F St, Chula Vista, CA 91910 Phone: 619-420-3620 |