Kearny Mesa Medical Group | |
7525 Linda Vista Rd San Diego CA 92111-5301 | |
(858) 277-2361 | |
Not Available |
Full Name | Kearny Mesa Medical Group |
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Speciality | Family Medicine |
Location | 7525 Linda Vista Rd, San Diego, California |
Authorized Official Name and Position | Noelle Blakely (ADMIN.) |
Authorized Official Contact | 8582772361 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kearny Mesa Medical Group 7525 Linda Vista Rd San Diego CA 92111-5301 Ph: () - | Kearny Mesa Medical Group 7525 Linda Vista Rd San Diego CA 92111-5301 Ph: (858) 277-2361 |
NPI Number | 1417075383 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7113181876 |
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Medicare Enrollment ID | O20120607000737 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417075383 | NPI | - | NPPES |
GR0040150 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (California) | Primary |
Provider Name | Gary P Mcfeeters |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790813962 PECOS PAC ID: 8921262684 Enrollment ID: I20120607000748 |
Provider Name | Jeffrey Abrahm Cohen |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184184251 PECOS PAC ID: 1951632389 Enrollment ID: I20230720002834 |
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