| Congruity Healthcare Pc | |
|
11878 Avenue Of Industry San Diego CA 92128-3423 | |
| (619) 900-9750 | |
| (720) 710-2223 |
| Full Name | Congruity Healthcare Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11878 Avenue Of Industry, San Diego, California |
| Authorized Official Name and Position | Ross Palmer (OWNER) |
| Authorized Official Contact | 6199009750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Congruity Healthcare Pc Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 900-9750 | Congruity Healthcare Pc 11878 Avenue Of Industry San Diego CA 92128-3423 Ph: (619) 900-9750 |
| NPI Number | 1578181343 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Certification Date | 07/08/2020 |
| Medicare PECOS PAC ID | 1153747969 |
|---|---|
| Medicare Enrollment ID | O20200811002310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578181343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ross Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770930075 PECOS PAC ID: 2860802998 Enrollment ID: I20201101000039 |
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