| A. Grant Kingsbury, Md, Inc | |
|
4060 4th Ave Suite 500 San Diego CA 92103-2116 | |
| (619) 298-2900 | |
| Not Available |
| Full Name | A. Grant Kingsbury, Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4060 4th Ave, San Diego, California |
| Authorized Official Name and Position | Arthur Grant Kingsbury (PRESIDENT) |
| Authorized Official Contact | 6192982900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Grant Kingsbury, Md, Inc 4060 4th Ave Suite 500 San Diego CA 92103-2116 Ph: (619) 298-2900 | A. Grant Kingsbury, Md, Inc 4060 4th Ave Suite 500 San Diego CA 92103-2116 Ph: (619) 298-2900 |
| NPI Number | 1588650626 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 5395631097 |
|---|---|
| Medicare Enrollment ID | O20040227000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588650626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2000-003562 (California) | Primary |
| Provider Name | Arthur G Kingsbury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216284 PECOS PAC ID: 2567358260 Enrollment ID: I20040301001009 |
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