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Kazaran Gayla Barkawi-Buck

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020

PECOS Enrollment

This provider is enrolled in PECOS as KAZARAN BARKAWI-BUCK.

Based on the most recent information from CMS, provider Kazaran Gayla Barkawi-Buck is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
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
1790702694
Provider Type
Individual
Full Name
Barkawi-Buck, Kazaran Gayla
Title
Mrs.
Credential
MA., LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/16/2006
Last Updated
6/29/2016

Contact Information

Practice Location

5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020

(619) 630-5113

(619) 303-3306

Mailing Location

5480 Baltimore Dr, Suite 250, La Mesa, CA 91942-2020

(619) 630-5113

(619) 303-3306

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC 50604 California

Kazaran Gayla Barkawi-Buck

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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