Mobile Care Medical Providers | |
2801 Camino Del Rio S # 204-1 San Diego CA 92108-3800 | |
(619) 677-2788 | |
(619) 677-2799 |
Full Name | Mobile Care Medical Providers |
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Speciality | Family Medicine |
Location | 2801 Camino Del Rio S # 204-1, San Diego, California |
Authorized Official Name and Position | Blanca Cardenas (CEO) |
Authorized Official Contact | 7604035290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mobile Care Medical Providers 1375 Oakpoint Ave Chula Vista CA 91913-2953 Ph: (760) 403-5290 | Mobile Care Medical Providers 2801 Camino Del Rio S # 204-1 San Diego CA 92108-3800 Ph: (619) 677-2788 |
NPI Number | 1891495149 |
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Provider Enumeration Date | 03/06/2023 |
Last Update Date | 12/07/2023 |
Medicare PECOS PAC ID | 9638535990 |
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Medicare Enrollment ID | O20230512000201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891495149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Blanca E Cardenas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003133984 PECOS PAC ID: 6002948650 Enrollment ID: I20100716000336 |
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