Lifehealth Medicine Apc | |
7850 Vista Hill Ave San Diego CA 92123-2717 | |
(619) 704-2127 | |
Not Available |
Full Name | Lifehealth Medicine Apc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 7850 Vista Hill Ave, San Diego, California |
Authorized Official Name and Position | Smit Chauhan (OWNER) |
Authorized Official Contact | 6197042127 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lifehealth Medicine Apc 7850 Vista Hill Ave San Diego CA 92123-2717 Ph: (619) 704-2127 | Lifehealth Medicine Apc 7850 Vista Hill Ave San Diego CA 92123-2717 Ph: (619) 704-2127 |
NPI Number | 1427703156 |
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Provider Enumeration Date | 02/22/2022 |
Last Update Date | 02/23/2022 |
Certification Date | 02/23/2022 |
Medicare PECOS PAC ID | 6305233453 |
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Medicare Enrollment ID | O20220420001648 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427703156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Smit S Chauhan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700083391 PECOS PAC ID: 4587804380 Enrollment ID: I20130627000667 |
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