| Medipark Physicians Group P.c. | |
|
7825 Engineer Rd Ste 100 San Diego CA 92111-1924 | |
| (858) 277-7111 | |
| (858) 277-7667 |
| Full Name | Medipark Physicians Group P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7825 Engineer Rd Ste 100, San Diego, California |
| Authorized Official Name and Position | Jessica Baik (REPRESENTATIVE) |
| Authorized Official Contact | 8582777111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medipark Physicians Group P.c. 7825 Engineer Rd Ste 100 San Diego CA 92111-1924 Ph: (858) 277-7111 | Medipark Physicians Group P.c. 7825 Engineer Rd Ste 100 San Diego CA 92111-1924 Ph: (858) 277-7111 |
| NPI Number | 1609696319 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609696319 | NPI | - | NPPES |
| 1699799593 | Medicaid | CA | |
| 1386168821 | Medicaid | CA | |
| 1083827273 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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