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Marcelo Alberto Podesta

Marriage & Family Therapist

Behavioral Health & Social Service Providers

7317 El Cajon Blvd Unit 230, La Mesa, CA 91942-7434

PECOS Enrollment

This provider is enrolled in PECOS as MARCELO PODESTA.

Based on the most recent information from CMS, provider Marcelo Alberto Podesta is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1699075184
Provider Type
Individual
Full Name
Podesta, Marcelo Alberto
Title
Mr.
Credential
LMFT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/29/2010
Last Updated
9/25/2018

Contact Information

Practice Location

7317 El Cajon Blvd Unit 230, La Mesa, CA 91942-7434

(619) 653-6900

Unlisted Fax

Mailing Location

7317 El Cajon Blvd # 230, La Mesa, CA 91942-7434

(619) 653-6900

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT 77776 California

Marcelo Alberto Podesta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Long, Phyllis Catherine Vokey

Caraballo, Michelle Amber

Vargas, Faith Elizabeth

Lance- Sexton, Amanda

Comito, Theresa Mary

Rios, Irenda

Williams, Julie Ellen

White, Amy Gibbs

Cervantes, Sabina Natalie

Marquez, Mareeh Claire