| Mohammed K Elsayed A Proffesional Corporation | |
|
330 Oxford St Ste 106 Chula Vista CA 91911-3118 | |
| (619) 409-1802 | |
| (619) 409-1831 |
| Full Name | Mohammed K Elsayed A Proffesional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Oxford St Ste 106, Chula Vista, California |
| Authorized Official Name and Position | Mohammed K Elsayed (OWNER) |
| Authorized Official Contact | 6194091802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed K Elsayed A Proffesional Corporation 330 Oxford St Ste 106 Chula Vista CA 91911-3118 Ph: (619) 409-1802 | Mohammed K Elsayed A Proffesional Corporation 330 Oxford St Ste 106 Chula Vista CA 91911-3118 Ph: (619) 409-1802 |
| NPI Number | 1396167813 |
|---|---|
| Provider Enumeration Date | 01/17/2014 |
| Last Update Date | 01/17/2014 |
| Medicare PECOS PAC ID | 2466678446 |
|---|---|
| Medicare Enrollment ID | O20140728002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396167813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A100765 (California) | Primary |
| Provider Name | Mohammed K Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821033424 PECOS PAC ID: 6103870712 Enrollment ID: I20090203000231 |
| Provider Name | Wilian Grijalva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831872357 PECOS PAC ID: 5092162842 Enrollment ID: I20231115003494 |
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