| Happy Sol Medical Pc | |
|
322 1/2 W Washington St San Diego CA 92103-1931 | |
| (833) 408-8326 | |
| (833) 758-3828 |
| Full Name | Happy Sol Medical Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 322 1/2 W Washington St, San Diego, California |
| Authorized Official Name and Position | Ibrahim Mulic (CEO) |
| Authorized Official Contact | 6192284717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Sol Medical Pc 322 1/2 W Washington St San Diego CA 92103-1931 Ph: (833) 408-8326 | Happy Sol Medical Pc 322 1/2 W Washington St San Diego CA 92103-1931 Ph: (833) 408-8326 |
| NPI Number | 1861272973 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 4385087063 |
|---|---|
| Medicare Enrollment ID | O20240209001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861272973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Stacie Daniels |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295846822 PECOS PAC ID: 2860570595 Enrollment ID: I20240209001160 |
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