Isaiah Erik San Diego | Las Vegas, NV • PECOS Search

Isaiah Erik San Diego

Counselor

Behavioral Health & Social Service Providers

7361 Prairie Falcon Rd, Las Vegas, NV 89128-0823

PECOS Enrollment

Based on the most recent information from CMS, provider Isaiah Erik San Diego does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1417764119
Provider Type
Individual
Full Name
San Diego, Isaiah Erik
Gender
Male

Sole Proprietor
No
Enumeration Date
12/16/2024
Last Updated
12/16/2024

Contact Information

Practice Location

7361 Prairie Falcon Rd, Las Vegas, NV 89128-0823

Unlisted Fax

Mailing Location

7361 Prairie Falcon Rd, Las Vegas, NV 89128-0823

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer