Presidio Medical Group Inc | |
4440 Lamont St San Diego CA 92109-4560 | |
(858) 270-7633 | |
(858) 270-7692 |
Full Name | Presidio Medical Group Inc |
---|---|
Speciality | Family Medicine |
Location | 4440 Lamont St, San Diego, California |
Authorized Official Name and Position | James A Novak (PRESIDENT) |
Authorized Official Contact | 8582720022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Presidio Medical Group Inc 4440 Lamont St San Diego CA 92109-4560 Ph: (858) 270-7633 | Presidio Medical Group Inc 4440 Lamont St San Diego CA 92109-4560 Ph: (858) 270-7633 |
NPI Number | 1003996216 |
---|---|
Provider Enumeration Date | 10/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003996216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
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