| Mansour Mofidi, D.o.,inc | |
|
5555 Grossmont Center Dr La Mesa CA 91942-3019 | |
| (619) 770-0010 | |
| (619) 425-5869 |
| Full Name | Mansour Mofidi, D.o.,inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Authorized Official Name and Position | Mansour Mofidi (PRESIDENT) |
| Authorized Official Contact | 6197700010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansour Mofidi, D.o.,inc Po Box 2303 La Mesa CA 91943-2303 Ph: (619) 770-0010 | Mansour Mofidi, D.o.,inc 5555 Grossmont Center Dr La Mesa CA 91942-3019 Ph: (619) 770-0010 |
| NPI Number | 1902043193 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 12/19/2023 |
| Medicare PECOS PAC ID | 7315085149 |
|---|---|
| Medicare Enrollment ID | O20091116000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902043193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A0A7485 (California) | Primary |
| Provider Name | Mansour Mofidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164598843 PECOS PAC ID: 0143379222 Enrollment ID: I20090520000158 |
| Provider Name | Kellyann Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578882478 PECOS PAC ID: 4587853155 Enrollment ID: I20130129000120 |
| Provider Name | Hilario C Noveno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124486865 PECOS PAC ID: 1951644608 Enrollment ID: I20190520002746 |
Nadi Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4535 70th St, La Mesa, CA 91942 Phone: 619-750-4962 | |
Shota Gurtch, M.d., Inc., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd Ste C, La Mesa, CA 91942 Phone: 619-668-8100 | |
Michael Andrisani Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-469-3822 | |
Mohammed Miradi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942 Phone: 619-644-1483 | |
Encompass Family And Internal Medicine Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942 Phone: 619-460-7775 Fax: 858-519-5446 | |
Dap Health-la Mesa Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Raed Al-naser, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-589-9158 Fax: 619-462-0371 |