| Nihon Clinic Sd, A Professional Corporation | |
|
3762 Clairemont Dr San Diego CA 92117-5916 | |
| (858) 560-8910 | |
| (858) 560-8011 |
| Full Name | Nihon Clinic Sd, A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 3762 Clairemont Dr, San Diego, California |
| Authorized Official Name and Position | Akiko Chen (OFFICE MANAGER) |
| Authorized Official Contact | 8585608910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nihon Clinic Sd, A Professional Corporation 3762 Clairemont Dr San Diego CA 92117-5916 Ph: (858) 560-8910 | Nihon Clinic Sd, A Professional Corporation 3762 Clairemont Dr San Diego CA 92117-5916 Ph: (858) 560-8910 |
| NPI Number | 1275890022 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 3577705458 |
|---|---|
| Medicare Enrollment ID | O20130805000850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275890022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ildong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346262896 PECOS PAC ID: 7911149893 Enrollment ID: I20130805000889 |
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