Nadi Medical Group | |
4535 70th St La Mesa CA 91942-0701 | |
(619) 750-4962 | |
Not Available |
Full Name | Nadi Medical Group |
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Speciality | Internal Medicine |
Location | 4535 70th St, La Mesa, California |
Authorized Official Name and Position | Masoud Nadi (OWNER/PRESIDENT) |
Authorized Official Contact | 6196099492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nadi Medical Group 4535 70th St La Mesa CA 91942-0701 Ph: (619) 609-9294 | Nadi Medical Group 4535 70th St La Mesa CA 91942-0701 Ph: (619) 750-4962 |
NPI Number | 1003523663 |
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Provider Enumeration Date | 11/03/2022 |
Last Update Date | 03/30/2023 |
Medicare PECOS PAC ID | 4082086129 |
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Medicare Enrollment ID | O20230217001775 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003523663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
Provider Name | Wahida Hamid |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164812293 PECOS PAC ID: 5496076697 Enrollment ID: I20150529002249 |
Provider Name | Fahima Nadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770072290 PECOS PAC ID: 7214275353 Enrollment ID: I20221110003037 |
Provider Name | Masoud Nadi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396259172 PECOS PAC ID: 8527430669 Enrollment ID: I20230217001867 |
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