| Socal Street Medicine | |
|
7245 Navajo Rd Unit D330 San Diego CA 92119-1672 | |
| (619) 439-9238 | |
| Not Available |
| Full Name | Socal Street Medicine |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7245 Navajo Rd Unit D330, San Diego, California |
| Authorized Official Name and Position | Mahdi Diab (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6194399239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Street Medicine 7245 Navajo Rd Unit D330 San Diego CA 92119-1672 Ph: (619) 439-9238 | Socal Street Medicine 7245 Navajo Rd Unit D330 San Diego CA 92119-1672 Ph: (619) 439-9238 |
| NPI Number | 1861255630 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861255630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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