| Mumtoy Al Mansous Md | |
|
330 S. Magnolia Ave. Suite 101 El Cajon CA 92020 | |
| (619) 861-4123 | |
| (858) 676-0035 |
| Full Name | Mumtoy Al Mansous Md |
|---|---|
| Speciality | Family Medicine |
| Location | 330 S. Magnolia Ave. Suite 101, El Cajon, California |
| Authorized Official Name and Position | Mumtaz Almansour (MD) |
| Authorized Official Contact | 6196205632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mumtoy Al Mansous Md 330 S. Magnolia Ave. Suite 101 El Cajon CA 92020 Ph: (619) 861-4123 | Mumtoy Al Mansous Md 330 S. Magnolia Ave. Suite 101 El Cajon CA 92020 Ph: (619) 861-4123 |
| NPI Number | 1023022092 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 03/22/2019 |
| Medicare PECOS PAC ID | 8527024942 |
|---|---|
| Medicare Enrollment ID | O20041207001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023022092 | NPI | - | NPPES |
| 00A559261 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A55926 (California) | Primary |
| Provider Name | Mumtaz T Almansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558567446 PECOS PAC ID: 5698753952 Enrollment ID: I20040712001620 |
| Provider Name | Wasim Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649627696 PECOS PAC ID: 0547593667 Enrollment ID: I20190605000441 |
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