| Hospital Psychiatric And Medical Group | |
|
3830 Valley Centre Dr Suite 705-463 San Diego CA 92130-3320 | |
| (858) 481-0412 | |
| (858) 481-6066 |
| Full Name | Hospital Psychiatric And Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3830 Valley Centre Dr, San Diego, California |
| Authorized Official Name and Position | Michael N. Markopoulos (OWNER) |
| Authorized Official Contact | 8584810412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Psychiatric And Medical Group 3830 Valley Centre Dr Suite 705-463 San Diego CA 92130-3320 Ph: (858) 481-0412 | Hospital Psychiatric And Medical Group 3830 Valley Centre Dr Suite 705-463 San Diego CA 92130-3320 Ph: (858) 481-0412 |
| NPI Number | 1023388113 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023388113 | NPI | - | NPPES |
| 00G346870 | Medicaid | CA | |
| G346870 | Other | CA | LICENSE |
| W7278 | Other | CA | GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G34687 (California) | Primary |
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