| Health Ave Clinic Inc | |
|
250 E Chase Ave Ste 109 El Cajon CA 92020-6305 | |
| (619) 499-5006 | |
| Not Available |
| Full Name | Health Ave Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 E Chase Ave Ste 109, El Cajon, California |
| Authorized Official Name and Position | Omar Khayyat (OWNER) |
| Authorized Official Contact | 6194995006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Ave Clinic Inc 250 E Chase Ave Ste 109 El Cajon CA 92020-6305 Ph: (619) 499-5006 | Health Ave Clinic Inc 250 E Chase Ave Ste 109 El Cajon CA 92020-6305 Ph: (619) 499-5006 |
| NPI Number | 1003535097 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 0042685950 |
|---|---|
| Medicare Enrollment ID | O20230406002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003535097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Omar Khayyat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649711862 PECOS PAC ID: 1355763582 Enrollment ID: I20200901003202 |
| Provider Name | Mohammed Alshammary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194217539 PECOS PAC ID: 4587919816 Enrollment ID: I20220810002091 |
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