Calm Horizons Psychiatry Pc | |
4730 Noyes St San Diego CA 92109-3637 | |
(619) 736-3985 | |
(619) 736-5991 |
Full Name | Calm Horizons Psychiatry Pc |
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Speciality | Psychiatry & Neurology |
Location | 4730 Noyes St, San Diego, California |
Authorized Official Name and Position | Robert Masoner (PRESIDENT) |
Authorized Official Contact | 6234512057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Calm Horizons Psychiatry Pc 1650 Garnet Ave # 1001 San Diego CA 92109-3116 Ph: (619) 736-3985 | Calm Horizons Psychiatry Pc 4730 Noyes St San Diego CA 92109-3637 Ph: (619) 736-3985 |
NPI Number | 1932941051 |
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Provider Enumeration Date | 06/10/2024 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Medicare PECOS PAC ID | 9234660879 |
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Medicare Enrollment ID | O20241007001551 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932941051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Robert Michael Masoner |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154779528 PECOS PAC ID: 8628315058 Enrollment ID: I20240806004250 |
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