| Carrie L Cardenas Md A Medical Corporation | |
|
3330 3rd Ave Ste 402 San Diego CA 92103-5639 | |
| (619) 819-7227 | |
| (619) 299-7430 |
| Full Name | Carrie L Cardenas Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 3rd Ave Ste 402, San Diego, California |
| Authorized Official Name and Position | Carrie L Cardenas (MD) |
| Authorized Official Contact | 6198197227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie L Cardenas Md A Medical Corporation 3330 3rd Ave Ste 402 San Diego CA 92103-5639 Ph: (619) 819-7227 | Carrie L Cardenas Md A Medical Corporation 3330 3rd Ave Ste 402 San Diego CA 92103-5639 Ph: (619) 819-7227 |
| NPI Number | 1831675537 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 2961752134 |
|---|---|
| Medicare Enrollment ID | O20180910001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831675537 | NPI | - | NPPES |
| 00A727440 | Medicaid | CA | |
| A72744 | Other | CA | THE MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A727440 (California) | Primary |
| Provider Name | Hector Cardenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649383647 PECOS PAC ID: 3870499932 Enrollment ID: I20031209001060 |
| Provider Name | Carrie L Cardenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750390084 PECOS PAC ID: 4183757685 Enrollment ID: I20100804000935 |
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