| Culture Of Life Family Health Care | |
|
5030 Camino De La Siesta Ste. 106 San Diego CA 92108-3116 | |
| (619) 692-4401 | |
| (619) 692-8147 |
| Full Name | Culture Of Life Family Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5030 Camino De La Siesta, San Diego, California |
| Authorized Official Name and Position | Joseph R Anderson (MEDICAL PRACTICE MANAGER) |
| Authorized Official Contact | 6196924401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Culture Of Life Family Health Care 5030 Camino De La Siesta Ste. 106 San Diego CA 92108-3116 Ph: (619) 692-4401 | Culture Of Life Family Health Care 5030 Camino De La Siesta Ste. 106 San Diego CA 92108-3116 Ph: (619) 692-4401 |
| NPI Number | 1700996923 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 0042216749 |
|---|---|
| Medicare Enrollment ID | O20061019000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700996923 | NPI | - | NPPES |
| 00G668070 | Medicaid | CA | |
| 1083639470 | Other | CA | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G66807 (California) | Primary |
| Provider Name | George Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083639470 PECOS PAC ID: 6507880234 Enrollment ID: I20060120000776 |
| Provider Name | Karen A Saroki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215157284 PECOS PAC ID: 5092989095 Enrollment ID: I20111130000605 |
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