| Life Medical Practitioners | |
|
4776 Allied Rd San Diego CA 92120-2412 | |
| (818) 823-6717 | |
| Not Available |
| Full Name | Life Medical Practitioners |
|---|---|
| Speciality | Hospitalist |
| Location | 4776 Allied Rd, San Diego, California |
| Authorized Official Name and Position | Karine Sargsyan (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8188236717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Medical Practitioners 4776 Allied Rd San Diego CA 92120-2412 Ph: (818) 823-6717 | Life Medical Practitioners 4776 Allied Rd San Diego CA 92120-2412 Ph: (818) 823-6717 |
| NPI Number | 1821799164 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 5698136745 |
|---|---|
| Medicare Enrollment ID | O20230804002693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821799164 | NPI | - | NPPES |
| Provider Name | Stephanus Ricardo Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043255797 PECOS PAC ID: 7911973235 Enrollment ID: I20040908001082 |
| Provider Name | Asra F Farooqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437286796 PECOS PAC ID: 5395845036 Enrollment ID: I20070711000331 |
| Provider Name | Deepa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457548190 PECOS PAC ID: 3274613971 Enrollment ID: I20080108000322 |
| Provider Name | Boris A Pearlman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366670671 PECOS PAC ID: 0941475891 Enrollment ID: I20111205000795 |
| Provider Name | Jessica Marie Adkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194968362 PECOS PAC ID: 2961665187 Enrollment ID: I20120524000589 |
| Provider Name | Huma A Taqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285837708 PECOS PAC ID: 1759440779 Enrollment ID: I20120712000694 |
| Provider Name | Pradeep Kaur Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326292400 PECOS PAC ID: 1759550627 Enrollment ID: I20130118000146 |
| Provider Name | Sarkis Bolisajian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568557163 PECOS PAC ID: 2961579164 Enrollment ID: I20130724000942 |
| Provider Name | Liana Nikoghosyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578854212 PECOS PAC ID: 5698922458 Enrollment ID: I20160111000928 |
| Provider Name | Mohammadreza Rostami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184026833 PECOS PAC ID: 8729382122 Enrollment ID: I20160204002027 |
| Provider Name | Mahvand N Sadeghi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982019014 PECOS PAC ID: 1052680295 Enrollment ID: I20170703001464 |
| Provider Name | Henry Chih-yang Hung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730593682 PECOS PAC ID: 3870863285 Enrollment ID: I20170718001976 |
| Provider Name | George E Ishak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790190825 PECOS PAC ID: 4486925062 Enrollment ID: I20170731002336 |
| Provider Name | Jaspreet S Somal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972890507 PECOS PAC ID: 5698046936 Enrollment ID: I20170906003798 |
| Provider Name | Hung Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740379312 PECOS PAC ID: 5698732634 Enrollment ID: I20171117002233 |
| Provider Name | Nabeel M Najmuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619325321 PECOS PAC ID: 6204269269 Enrollment ID: I20191204002764 |
| Provider Name | Aamir Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174054019 PECOS PAC ID: 9436403300 Enrollment ID: I20191215000021 |
| Provider Name | Jasprit S Takher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235489709 PECOS PAC ID: 2163718115 Enrollment ID: I20210413002709 |
| Provider Name | Zain S Mehdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306370705 PECOS PAC ID: 2163786450 Enrollment ID: I20211011001379 |
| Provider Name | Roofan Alsayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477841641 PECOS PAC ID: 6507098530 Enrollment ID: I20211103001794 |
| Provider Name | Cameron Zadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164927943 PECOS PAC ID: 0143600510 Enrollment ID: I20220630002817 |
| Provider Name | Rajeev Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255891149 PECOS PAC ID: 1052646361 Enrollment ID: I20221128001996 |
| Provider Name | Ishaque Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003255498 PECOS PAC ID: 8224459953 Enrollment ID: I20230216002195 |
| Provider Name | Beshoy Iskander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972169589 PECOS PAC ID: 5597095067 Enrollment ID: I20230706003541 |
| Provider Name | Ankit Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578024964 PECOS PAC ID: 1254667785 Enrollment ID: I20231227000557 |
| Provider Name | Mario Antonio Saldana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033738919 PECOS PAC ID: 3870957335 Enrollment ID: I20231229001832 |
| Provider Name | Setrak Manouk Missak Azrenkassian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265010920 PECOS PAC ID: 1254706880 Enrollment ID: I20240521004032 |
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