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Organization

LEOMAR HEALTH GROUP PC

Active
Other names
Pacific Health Group
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT SHONIA (PRESIDENT/CEO)
(619) 647-8800
Entity
Organization

Contact information

Practice address
888 W BIG BEAVER RD STE 200, TROY, MI 48084-4730
(888) 341-4449
(858) 529-9709
Mailing address
2888 LOKER AVE E STE 110, CARLSBAD, CA 92010-6683
(888) 341-4449
(858) 529-9709

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TC0700X
Clinical Psychologist
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
2084P0800X
Psychiatry Physician
Primary
251X00000X
Supports Brokerage Agency
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
376J00000X
Homemaker

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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