Letia Bogan
Individual provider Active NPI Peer Specialist · Ridgecrest, CA
NPI 1679244693 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1679244693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577 - Phone
- (760) 499-7406
- NPI assigned
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577
Mailing address
1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577
Phone (760) 499-7406
Other providers in Ridgecrest, CA
- Bishop & Associates Physical Therapy LLC
- Diane Lee Bishop
- Patricia Bitar
- Lori Kay Blowers
- Bobby R Miller MD Medical Corporation
- Helaine M Boggs
- Sian Meredydd Bone
- Michael G Borchik
- Gregg Boske
- Isaac Bowen
All providers in Ridgecrest, CA · Peer Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.