| Anem Medical Corporation | |
|
11878 Avenue Of Industry San Diego CA 92128-3423 | |
| (619) 320-8070 | |
| (930) 222-3073 |
| Full Name | Anem Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11878 Avenue Of Industry, San Diego, California |
| Authorized Official Name and Position | Gautam Anem (OWNER) |
| Authorized Official Contact | 6193208070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anem Medical Corporation Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 464-1165 | Anem Medical Corporation 11878 Avenue Of Industry San Diego CA 92128-3423 Ph: (619) 320-8070 |
| NPI Number | 1588444871 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 0547606964 |
|---|---|
| Medicare Enrollment ID | O20240307003426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588444871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gautam Anem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447817887 PECOS PAC ID: 1355676099 Enrollment ID: I20240307003535 |
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