| Encompass Family And Internal Medicine Group Inc | |
|
7051 Alvarado Rd 201 La Mesa CA 91942-8901 | |
| (619) 460-7775 | |
| (858) 519-5446 |
| Full Name | Encompass Family And Internal Medicine Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7051 Alvarado Rd, La Mesa, California |
| Authorized Official Name and Position | Robert Berooz Lajvardi (OWNER) |
| Authorized Official Contact | 6194607775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Encompass Family And Internal Medicine Group Inc 7051 Alvarado Rd 201 La Mesa CA 91942-8901 Ph: (619) 460-7775 | Encompass Family And Internal Medicine Group Inc 7051 Alvarado Rd 201 La Mesa CA 91942-8901 Ph: (619) 460-7775 |
| NPI Number | 1033449640 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 10/05/2023 |
| Medicare PECOS PAC ID | 8921140021 |
|---|---|
| Medicare Enrollment ID | O20100128000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033449640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A89608 (California) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | A89608 (California) | Secondary |
| Provider Name | Robert Behrooz Lajvardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235187568 PECOS PAC ID: 4486613957 Enrollment ID: I20050810000477 |
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