Mickeal Pugh Jr, PHD - Psychologist in Los Angeles, CA

Mickeal Pugh Jr, PHD is a Psychologist based in Los Angeles, California. Mickeal Pugh Jr is licensed to practice in California (license number ) and his current practice location is 11500 W Olympic Blvd Ste 640, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at (424) 225-1845.

NPI number for Mickeal Pugh Jr is 1093597601 and his current mailing address is 5520 Wilshire Blvd Apt 619, Los Angeles, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093597601.

Contact Information

Mickeal Pugh Jr, PHD
11500 W Olympic Blvd Ste 640,
Los Angeles, CA 90064-1525
(424) 225-1845
Not Available



Healthcare Provider's Profile

Full NameMickeal Pugh Jr
GenderMale
SpecialityPsychologist
Location11500 W Olympic Blvd Ste 640, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093597601
  • Provider Enumeration Date: 10/18/2023
  • Last Update Date: 10/18/2023

Medical Identifiers

Medical identifiers for Mickeal Pugh Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093597601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mickeal Pugh Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mickeal Pugh Jr, PHD
5520 Wilshire Blvd Apt 619,
Los Angeles, CA 90036-5786

Ph: (717) 698-2173
Mickeal Pugh Jr, PHD
11500 W Olympic Blvd Ste 640,
Los Angeles, CA 90064-1525

Ph: (424) 225-1845

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› Verified 6 days ago


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