| Compassionate Care Medical Center | |
|
4440 Euclid Ave Ste A San Diego CA 92115-4522 | |
| (619) 521-6812 | |
| (619) 521-6802 |
| Full Name | Compassionate Care Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 4440 Euclid Ave Ste A, San Diego, California |
| Authorized Official Name and Position | Charles Nguyen-thanh Le (PRESIDENT) |
| Authorized Official Contact | 6199291605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Care Medical Center 4440 Euclid Ave Ste A San Diego CA 92115-4522 Ph: (619) 521-6812 | Compassionate Care Medical Center 4440 Euclid Ave Ste A San Diego CA 92115-4522 Ph: (619) 521-6812 |
| NPI Number | 1225651508 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/11/2021 |
| Medicare PECOS PAC ID | 4385043751 |
|---|---|
| Medicare Enrollment ID | O20210604002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225651508 | NPI | - | NPPES |
| Provider Name | Nadine E Sidrick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134140718 PECOS PAC ID: 9234114356 Enrollment ID: I20040623000305 |
| Provider Name | Charles Nguyen-than Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821243759 PECOS PAC ID: 2860533767 Enrollment ID: I20131120001740 |
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