| Emily's Medical Group Apc | |
|
230 Avocado Ave El Cajon CA 92020-4604 | |
| (619) 456-9800 | |
| (619) 456-9804 |
| Full Name | Emily's Medical Group Apc |
|---|---|
| Speciality | Family Medicine |
| Location | 230 Avocado Ave, El Cajon, California |
| Authorized Official Name and Position | Nejat Arab Jalisi (MD/OWNER) |
| Authorized Official Contact | 6194569800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily's Medical Group Apc 230 Avocado Ave El Cajon CA 92020-4604 Ph: (619) 456-9800 | Emily's Medical Group Apc 230 Avocado Ave El Cajon CA 92020-4604 Ph: (619) 456-9800 |
| NPI Number | 1265775845 |
|---|---|
| Provider Enumeration Date | 04/01/2013 |
| Last Update Date | 04/01/2013 |
| Medicare PECOS PAC ID | 0446499032 |
|---|---|
| Medicare Enrollment ID | O20130611000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265775845 | NPI | - | NPPES |
| A105304 | Other | CA | THE MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A105304 (California) | Primary |
| Provider Name | Nejat A Jalisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063651552 PECOS PAC ID: 2567529738 Enrollment ID: I20090316000582 |
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