| Hala Kazanchi Medical Corp | |
|
9888 Genesee Ave La Jolla CA 92037-1205 | |
| (619) 948-0944 | |
| Not Available |
| Full Name | Hala Kazanchi Medical Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9888 Genesee Ave, La Jolla, California |
| Authorized Official Name and Position | Hala Kazanchi (PRESIDENT) |
| Authorized Official Contact | 6199480944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hala Kazanchi Medical Corp Po Box 2906 La Jolla CA 92038-2906 Ph: (619) 948-0944 | Hala Kazanchi Medical Corp 9888 Genesee Ave La Jolla CA 92037-1205 Ph: (619) 948-0944 |
| NPI Number | 1841660289 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 09/28/2015 |
| Medicare PECOS PAC ID | 3870803109 |
|---|---|
| Medicare Enrollment ID | O20151117000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841660289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A126947 (California) | Primary |
| Provider Name | Hala Z Kazanchi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1316244841 PECOS PAC ID: 5890942288 Enrollment ID: I20150805008719 |
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