| Glenn G. Soppe Md Pc | |
|
345 Saxony Rd Suite 204 Encinitas CA 92024-2787 | |
| (760) 944-8402 | |
| Not Available |
| Full Name | Glenn G. Soppe Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 345 Saxony Rd, Encinitas, California |
| Authorized Official Name and Position | Glenn Soppe (OWNER) |
| Authorized Official Contact | 7609448484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn G. Soppe Md Pc 345 Saxony Rd Suite 204 Encinitas CA 92024-2787 Ph: (760) 944-8402 | Glenn G. Soppe Md Pc 345 Saxony Rd Suite 204 Encinitas CA 92024-2787 Ph: (760) 944-8402 |
| NPI Number | 1114910841 |
|---|---|
| Provider Enumeration Date | 08/29/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2668498254 |
|---|---|
| Medicare Enrollment ID | O20051022000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114910841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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