Claudio V. Zawitkowski M.d., Inc | |
4535 30th St Ste 103 San Diego CA 92116-4245 | |
(619) 260-1958 | |
Not Available |
Full Name | Claudio V. Zawitkowski M.d., Inc |
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Speciality | Internal Medicine |
Location | 4535 30th St Ste 103, San Diego, California |
Authorized Official Name and Position | Claudio V Zawitkowski (PRESIDENT) |
Authorized Official Contact | 6192601958 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Claudio V. Zawitkowski M.d., Inc 13023 Olmeda Ct San Diego CA 92128-1117 Ph: (619) 260-1958 | Claudio V. Zawitkowski M.d., Inc 4535 30th St Ste 103 San Diego CA 92116-4245 Ph: (619) 260-1958 |
NPI Number | 1063608289 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 01/07/2009 |
Medicare PECOS PAC ID | 9436228921 |
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Medicare Enrollment ID | O20080523000560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063608289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A49794 (California) | Primary |
Provider Name | Melinda A Bataan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912933888 PECOS PAC ID: 8729088778 Enrollment ID: I20061222000161 |
Provider Name | Claudio V Zawitkowski |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578558623 PECOS PAC ID: 7618046103 Enrollment ID: I20080523000558 |
Provider Name | Shannon J O Brien |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245614114 PECOS PAC ID: 6305147976 Enrollment ID: I20151228000263 |
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