Sally Kutsunai, PHD in Torrance, CA - Medicare Psychologist Provider

Sally Kutsunai, PHD is a medicare enrolled "Psychologist" provider in Torrance, California. Her current practice location is 2790 Skypark Dr, Ste 307, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (310) 948-3015.

Sally Kutsunai is licensed to practice in California (license number PSY23945) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174816615.

Contact Information

	Sally Kutsunai, PHD
	2790 Skypark Dr, Ste 307, Torrance, CA 90505-5388
	(310) 948-3015
	(310) 394-2409

Healthcare Provider's Profile

Full Name	Sally Kutsunai
Gender	Female
Speciality	Psychologist
Location	2790 Skypark Dr, Torrance, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174816615
Provider Enumeration Date: 05/17/2011
Last Update Date: 07/02/2018

Medicare PECOS Information:

PECOS PAC ID: 0143456061
Enrollment ID: I20140102000853

Medical Identifiers

Medical identifiers for Sally Kutsunai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174816615	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY23945 (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. Sally Kutsunai is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sally Kutsunai, PHD Po Box 208, Santa Monica, CA 90406-0208 Ph: (310) 948-3015	Sally Kutsunai, PHD 2790 Skypark Dr, Ste 307, Torrance, CA 90505-5388 Ph: (310) 948-3015

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Sally Kutsunai, PHD - Medicare Psychologist in Torrance, CA