| Mrs Emi Komaki, | |
|
24511 W Jayne Ave, Coalinga, CA 93210-9503 | |
| (559) 934-8220 | |
| Not Available |
| Full Name | Mrs Emi Komaki |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 24511 W Jayne Ave, Coalinga, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689961476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 29956 (California) | Primary |
| Entity Name | Department Of State Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Emi Komaki, 24511 W Jayne Ave, Coalinga, CA 93210-9503 Ph: (559) 934-8220 | Mrs Emi Komaki, 24511 W Jayne Ave, Coalinga, CA 93210-9503 Ph: (559) 934-8220 |
Dr. John Bradley Lumpkin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24863 Jayne Ave., Coalinga, CA 93210 Phone: 559-935-4900 Fax: 559-935-7056 | |
Dr. Denise Louise Ferguson, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 599-934-3403 | |
Dr. Lindsay Marie Cunningham, PSY.D., M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-934-8151 | |
Tricia Busby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-903-7123 | |
Etta-lea Osterman-perez, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24511 W Jayne Ave, Coalinga, CA 93210 Phone: 559-935-4301 Fax: 559-935-7118 | |
Dr. William Fermin Alvarez, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24863 Jayne Avenue, Coalinga, CA 93210 Phone: 559-935-4900 | |
Young Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24863 W Jayne Ave, Coalinga, CA 93210 Phone: 559-935-4900 |