| Sokyahealth Llc | |
|
5060 Shoreham Pl Ste 100 San Diego CA 92122-5904 | |
| (877) 840-6956 | |
| Not Available |
| Full Name | Sokyahealth Llc |
|---|---|
| Speciality | Counselor |
| Location | 5060 Shoreham Pl Ste 100, San Diego, California |
| Authorized Official Name and Position | Joanna Castaneda (OPERATIONS MANAGER) |
| Authorized Official Contact | 3606082285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sokyahealth Llc Po Box 601422 San Diego CA 92160-1422 Ph: () - | Sokyahealth Llc 5060 Shoreham Pl Ste 100 San Diego CA 92122-5904 Ph: (877) 840-6956 |
| NPI Number | 1710641261 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Medicare PECOS PAC ID | 5294122883 |
|---|---|
| Medicare Enrollment ID | O20220429000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710641261 | NPI | - | NPPES |
| Provider Name | Brenda Hamel Burris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760706873 PECOS PAC ID: 7416116595 Enrollment ID: I20180427002165 |
| Provider Name | Kristine G Kemp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982190583 PECOS PAC ID: 2860741709 Enrollment ID: I20220429000670 |
| Provider Name | Lonnie M Stapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538539697 PECOS PAC ID: 3971954975 Enrollment ID: I20240112000763 |
| Provider Name | Jeremiah Guidos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508299538 PECOS PAC ID: 9032561113 Enrollment ID: I20240216004124 |
| Provider Name | Jennifer Yeggy Etter Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821692310 PECOS PAC ID: 2961854997 Enrollment ID: I20240325003408 |
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