|
| |
|
3434 Midway Dr Ste 2001 San Diego CA 92110-4924 | |
| (619) 325-1161 | |
| (619) 325-1717 |
| Full Name | |
|---|---|
| Speciality | Pain Medicine |
| Location | 3434 Midway Dr Ste 2001, San Diego, California |
| Authorized Official Name and Position | Clayton A. Varga (CEO) |
| Authorized Official Contact | 6266961400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 515800 Los Angeles CA 90051-5800 Ph: (909) 493-3800 | 3434 Midway Dr Ste 2001 San Diego CA 92110-4924 Ph: (619) 325-1161 |
| NPI Number | 1326425661 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 12/27/2021 |
| Certification Date | 12/27/2021 |
| Medicare PECOS PAC ID | 8123917713 |
|---|---|
| Medicare Enrollment ID | O20161111001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326425661 | NPI | - | NPPES |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
R D Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 |