Kabakibi Medical Corporation | |
6367 Alvarado Ct Ste 200 San Diego CA 92120-4915 | |
(619) 583-1954 | |
(619) 583-5499 |
Full Name | Kabakibi Medical Corporation |
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Speciality | Internal Medicine |
Location | 6367 Alvarado Ct Ste 200, San Diego, California |
Authorized Official Name and Position | Ahmad Kabakibi (CEO) |
Authorized Official Contact | 6195781063 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kabakibi Medical Corporation 5965 Village Way Ste E105-411 San Diego CA 92130-2475 Ph: (619) 578-1063 | Kabakibi Medical Corporation 6367 Alvarado Ct Ste 200 San Diego CA 92120-4915 Ph: (619) 583-1954 |
NPI Number | 1740330471 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 09/02/2023 |
Medicare PECOS PAC ID | 7719089614 |
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Medicare Enrollment ID | O20070223000320 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740330471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A94768 (California) | Primary |
Provider Name | Ahmad Kabakibi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043390206 PECOS PAC ID: 0446352348 Enrollment ID: I20070223000331 |
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