Iwc Primary Care | |
10225 Austin Dr Ste 105 Spring Valley CA 91978-1521 | |
(858) 648-0755 | |
(534) 429-4287 |
Full Name | Iwc Primary Care |
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Speciality | Family Medicine |
Location | 10225 Austin Dr, Spring Valley, California |
Authorized Official Name and Position | Danielle Alexis Gordon (PRIMARY CARE PROVIDER) |
Authorized Official Contact | 8586480755 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iwc Primary Care 750 Otay Lakes Rd # 111 Chula Vista CA 91910-6915 Ph: () - | Iwc Primary Care 10225 Austin Dr Ste 105 Spring Valley CA 91978-1521 Ph: (858) 648-0755 |
NPI Number | 1316535776 |
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Provider Enumeration Date | 12/31/2020 |
Last Update Date | 01/31/2024 |
Medicare PECOS PAC ID | 9830587427 |
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Medicare Enrollment ID | O20211101002777 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316535776 | NPI | - | NPPES |
A49264 | Other | CA | MEDICAL LICENSE |
NP95010963 | Other | CA | NURSE PRACTITIONER LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Suzanne E Afflalo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023166931 PECOS PAC ID: 3173694551 Enrollment ID: I20080611000867 |
Provider Name | Danielle Alexis Gordon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780148056 PECOS PAC ID: 7517379233 Enrollment ID: I20201221002498 |
Emg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10225 Austin Dr, Ste #103, Spring Valley, CA 91978 Phone: 619-660-6719 Fax: 619-660-5934 | |
Sevak Medical Consultancy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 962 Luther Dr, Spring Valley, CA 91977 Phone: 619-792-7719 | |
Grossmont Spring Valley Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2555 Fax: 619-462-5584 | |
Grossmont Spring Valley Family Health Center Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8788 Jamacha Rd, Spring Valley, CA 91977 Phone: 619-515-2555 Fax: 619-562-5584 | |
Encompass Family Physician Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10225 Austin Dr, Ste # 103, Spring Valley, CA 91978 Phone: 619-660-5719 Fax: 619-660-5934 | |
Spring Valley Family Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3845 Spring Dr, Spring Valley, CA 91977 Phone: 619-515-2385 Fax: 619-589-2812 |