| Daydream Md | |
|
3455 Ingraham St San Diego CA 92109-6713 | |
| (619) 937-2055 | |
| Not Available |
| Full Name | Daydream Md |
|---|---|
| Speciality | Clinic/Center |
| Location | 3455 Ingraham St, San Diego, California |
| Authorized Official Name and Position | Arsalan Azam (CEO/CMO) |
| Authorized Official Contact | 2165262099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daydream Md 4860 Muir Ave San Diego CA 92107-2102 Ph: (216) 526-2099 | Daydream Md 3455 Ingraham St San Diego CA 92109-6713 Ph: (619) 937-2055 |
| NPI Number | 1437864014 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 11/16/2023 |
| Medicare PECOS PAC ID | 2264805688 |
|---|---|
| Medicare Enrollment ID | O20230307000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437864014 | NPI | - | NPPES |
| 161461 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| 50842 | Other | CA | BOARD OF BEHAVIORAL SCIENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Arsalan Azam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487053336 PECOS PAC ID: 8123311776 Enrollment ID: I20191231001197 |
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