| Dr Halyna West Inc | |
|
9460 Cuyamaca St Ste 104 Santee CA 92071-5921 | |
| (619) 825-2732 | |
| (619) 639-0247 |
| Full Name | Dr Halyna West Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9460 Cuyamaca St Ste 104, Santee, California |
| Authorized Official Name and Position | Halyna Y West (OWNER) |
| Authorized Official Contact | 6198252732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Halyna West Inc 7825 Fay Ave Ste 200 La Jolla CA 92037-4270 Ph: (619) 825-2732 | Dr Halyna West Inc 9460 Cuyamaca St Ste 104 Santee CA 92071-5921 Ph: (619) 825-2732 |
| NPI Number | 1174135859 |
|---|---|
| Provider Enumeration Date | 08/23/2020 |
| Last Update Date | 12/14/2020 |
| Medicare PECOS PAC ID | 8628497344 |
|---|---|
| Medicare Enrollment ID | O20200930001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174135859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Halyna Y West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932437969 PECOS PAC ID: 4183896137 Enrollment ID: I20111017000462 |
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