Ms Graciela Castellanos, MA IN MFT | |
1666 Precision Park Ln, San Ysidro, CA 92173-1346 | |
(619) 662-4100 | |
Not Available |
Full Name | Ms Graciela Castellanos |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 1666 Precision Park Ln, San Ysidro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033484530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
---|---|
Ms Graciela Castellanos, MA IN MFT 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (619) 662-4100 | Ms Graciela Castellanos, MA IN MFT 1666 Precision Park Ln, San Ysidro, CA 92173-1346 Ph: (619) 662-4100 |
Araceli Leza, AA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Ms. Jessica Golden, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Hall Ave, San Ysidro, CA 92173 Phone: 619-902-2618 | |
William G Grimes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-1330 Fax: 619-428-7952 | |
Maricela Herrera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 234 W San Ysidro Blvd Apt 49, San Ysidro, CA 92173 Phone: 619-737-9558 | |
Manuela Mercedes Soto-mendez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6383 | |
Philip Maurice Truitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-1330 Fax: 619-428-7952 |