| Metro Family Physicians Medical Group Inc | |
|
5030 Camino De La Siesta Suite #204 San Diego CA 92108 | |
| (858) 514-3780 | |
| (858) 565-6811 |
| Full Name | Metro Family Physicians Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5030 Camino De La Siesta, San Diego, California |
| Authorized Official Name and Position | Ada Marin (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8585143780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Family Physicians Medical Group Inc 5030 Camino De La Siesta Suite #204 San Diego CA 92108 Ph: (858) 514-3780 | Metro Family Physicians Medical Group Inc 5030 Camino De La Siesta Suite #204 San Diego CA 92108 Ph: (858) 514-3780 |
| NPI Number | 1639257710 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 03/16/2015 |
| Medicare PECOS PAC ID | 6305827684 |
|---|---|
| Medicare Enrollment ID | O20040525000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639257710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G053378 (California) | Secondary |
| 207Q00000X | Family Medicine | A063890 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A7010 (California) | Primary |
| Provider Name | Sanas Sadrieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255523981 PECOS PAC ID: 6406997766 Enrollment ID: I20100108000253 |
| Provider Name | Ada Maria Marin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750420931 PECOS PAC ID: 0446231724 Enrollment ID: I20101119001044 |
| Provider Name | Christine E Eros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982743175 PECOS PAC ID: 7810185014 Enrollment ID: I20110202000130 |
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