| Clinica Internacional Buena Salud Inc | |
|
3802 National Ave San Diego CA 92113-3223 | |
| (619) 264-2591 | |
| (619) 264-4116 |
| Full Name | Clinica Internacional Buena Salud Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3802 National Ave, San Diego, California |
| Authorized Official Name and Position | Vitali Aizin (DIRECTOR) |
| Authorized Official Contact | 6192642591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Internacional Buena Salud Inc 3802 National Ave San Diego CA 92113-3223 Ph: (619) 264-2591 | Clinica Internacional Buena Salud Inc 3802 National Ave San Diego CA 92113-3223 Ph: (619) 264-2591 |
| NPI Number | 1679713192 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 1951547637 |
|---|---|
| Medicare Enrollment ID | O20130425000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679713192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vitali Aizin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366545733 PECOS PAC ID: 7416965959 Enrollment ID: I20060324000637 |
| Provider Name | Bernard J Lichtenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104878073 PECOS PAC ID: 1052363918 Enrollment ID: I20080331000240 |
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