| Hai Shao Md. Phd, A Medical Corporation | |
|
3525 Del Mar Heights Rd # 806 San Diego CA 92130-2199 | |
| (619) 567-3205 | |
| Not Available |
| Full Name | Hai Shao Md. Phd, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 3525 Del Mar Heights Rd # 806, San Diego, California |
| Authorized Official Name and Position | Hai Shao (PRESIDENT) |
| Authorized Official Contact | 6195673205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hai Shao Md. Phd, A Medical Corporation 3525 Del Mar Heights Rd # 806 San Diego CA 92130-2199 Ph: (619) 567-3205 | Hai Shao Md. Phd, A Medical Corporation 3525 Del Mar Heights Rd # 806 San Diego CA 92130-2199 Ph: (619) 567-3205 |
| NPI Number | 1912178237 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 12/18/2014 |
| Medicare PECOS PAC ID | 0042381030 |
|---|---|
| Medicare Enrollment ID | O20080618000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912178237 | NPI | - | NPPES |
| 1912178237 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A79601 (California) | Primary |
| Provider Name | Hai Shao |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598841033 PECOS PAC ID: 8123042504 Enrollment ID: I20060124001015 |
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