| Cifc Inc. | |
|
2725 Congress St Ste 2c San Diego CA 92110-2767 | |
| (618) 688-1035 | |
| (619) 688-1098 |
| Full Name | Cifc Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2725 Congress St Ste 2c, San Diego, California |
| Authorized Official Name and Position | Michele Suzanne Koonin (DIRECTOR) |
| Authorized Official Contact | 6194967822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cifc Inc. 2725 Congress St Ste 2c San Diego CA 92110-2767 Ph: (618) 688-1035 | Cifc Inc. 2725 Congress St Ste 2c San Diego CA 92110-2767 Ph: (618) 688-1035 |
| NPI Number | 1538781190 |
|---|---|
| Provider Enumeration Date | 05/17/2020 |
| Last Update Date | 05/17/2020 |
| Certification Date | 05/17/2020 |
| Medicare PECOS PAC ID | 8628496403 |
|---|---|
| Medicare Enrollment ID | O20200910001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538781190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michele Suzanne Koonin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982635611 PECOS PAC ID: 9335302934 Enrollment ID: I20120517000654 |
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