| Fereshteh Jahanpanah A Professional Medical Corporation | |
|
1333 E Main St El Cajon CA 92021-6540 | |
| (619) 447-6001 | |
| (619) 447-6096 |
| Full Name | Fereshteh Jahanpanah A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1333 E Main St, El Cajon, California |
| Authorized Official Name and Position | Fereshteh Jahanpanah (PRESIDENT/OWNER) |
| Authorized Official Contact | 6194476001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fereshteh Jahanpanah A Professional Medical Corporation 1333 E Main St El Cajon CA 92021-6540 Ph: (619) 447-6001 | Fereshteh Jahanpanah A Professional Medical Corporation 1333 E Main St El Cajon CA 92021-6540 Ph: (619) 447-6001 |
| NPI Number | 1609194570 |
|---|---|
| Provider Enumeration Date | 05/17/2010 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609194570 | NPI | - | NPPES |
| 1609194570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G65104 (California) | Primary |
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