| The Doctors Office & Walk-in Clinic Ca Inc. | |
|
3863 Clairemont Dr San Diego CA 92117-5831 | |
| (858) 483-5570 | |
| (858) 483-5572 |
| Full Name | The Doctors Office & Walk-in Clinic Ca Inc. |
|---|---|
| Speciality | General Practice |
| Location | 3863 Clairemont Dr, San Diego, California |
| Authorized Official Name and Position | Joshan K Shajan (OWNER) |
| Authorized Official Contact | 6466521791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctors Office & Walk-in Clinic Ca Inc. 3863 Clairemont Dr San Diego CA 92117-5831 Ph: (858) 483-5570 | The Doctors Office & Walk-in Clinic Ca Inc. 3863 Clairemont Dr San Diego CA 92117-5831 Ph: (858) 483-5570 |
| NPI Number | 1922494681 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 7416277900 |
|---|---|
| Medicare Enrollment ID | O20150526000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922494681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A39662 (California) | Primary |
| Provider Name | Morteza Mirkarimi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487757589 PECOS PAC ID: 0941331813 Enrollment ID: I20100622000458 |
| Provider Name | Lauren Angela Filippello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932827078 PECOS PAC ID: 8729445002 Enrollment ID: I20230531002807 |
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