| Krissie Le-hermida | |
|
625 3rd Ave Chula Vista CA 91910-5703 | |
| (619) 960-9645 | |
| (619) 476-7566 |
| Full Name | Krissie Le-hermida |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 625 3rd Ave, Chula Vista, California |
| Authorized Official Name and Position | Krissie P Le-hermida (OWNER) |
| Authorized Official Contact | 6199609645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krissie Le-hermida 625 3rd Ave Chula Vista CA 91910-5703 Ph: (619) 960-9645 | Krissie Le-hermida 625 3rd Ave Chula Vista CA 91910-5703 Ph: (619) 960-9645 |
| NPI Number | 1245426782 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245426782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCS15235 (California) | Primary |
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