Provider Demographics
NPI:1962621276
Name:GISELA C. LELHAM
Entity type:Organization
Organization Name:GISELA C. LELHAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SUPPORT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GISELA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:LELHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-716-9275
Mailing Address - Street 1:16749 PALMERO DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2915
Mailing Address - Country:US
Mailing Address - Phone:858-716-9275
Mailing Address - Fax:
Practice Address - Street 1:16749 PALMERO DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2915
Practice Address - Country:US
Practice Address - Phone:858-716-9275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management