| Joel Lazar, Phd Pc | |
|
1267 Rosecrans St Ste E San Diego CA 92106-2692 | |
| (619) 540-6038 | |
| (858) 755-2416 |
| Full Name | Joel Lazar, Phd Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1267 Rosecrans St Ste E, San Diego, California |
| Authorized Official Name and Position | Joel Lazar (PRESIDENT) |
| Authorized Official Contact | 6195406038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Lazar, Phd Pc 1267 Rosecrans St Ste E San Diego CA 92106-2692 Ph: (619) 540-6038 | Joel Lazar, Phd Pc 1267 Rosecrans St Ste E San Diego CA 92106-2692 Ph: (619) 540-6038 |
| NPI Number | 1770320541 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 2264960186 |
|---|---|
| Medicare Enrollment ID | O20250106002892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770320541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Joel D Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124123708 PECOS PAC ID: 0143488353 Enrollment ID: I20120220000590 |
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