| Mohammed Al-jasim Md A Medical Corporation | |
|
1600 S Imperial Ave 8 El Centro CA 92243-4242 | |
| (760) 336-3773 | |
| (760) 370-3229 |
| Full Name | Mohammed Al-jasim Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 S Imperial Ave, El Centro, California |
| Authorized Official Name and Position | Mohammed Al-jasim (CEO) |
| Authorized Official Contact | 7603363773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Al-jasim Md A Medical Corporation 1600 S Imperial Ave 8 El Centro CA 92243-4242 Ph: (760) 336-3773 | Mohammed Al-jasim Md A Medical Corporation 1600 S Imperial Ave 8 El Centro CA 92243-4242 Ph: (760) 336-3773 |
| NPI Number | 1841577376 |
|---|---|
| Provider Enumeration Date | 11/11/2011 |
| Last Update Date | 11/11/2011 |
| Medicare PECOS PAC ID | 8426211012 |
|---|---|
| Medicare Enrollment ID | O20120517000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841577376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A82827 (California) | Primary |
| Provider Name | Mohammed Al-jasim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760479786 PECOS PAC ID: 1355300849 Enrollment ID: I20041008001302 |
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