Paband Medical Corp | |
5111 Garfield St Ste B La Mesa CA 91941-5148 | |
(619) 698-9375 | |
(619) 698-9378 |
Full Name | Paband Medical Corp |
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Speciality | Internal Medicine |
Location | 5111 Garfield St Ste B, La Mesa, California |
Authorized Official Name and Position | Rashid Paband (PRESIDENT) |
Authorized Official Contact | 7602088411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Paband Medical Corp 5111 Garfield St Ste B La Mesa CA 91941-5148 Ph: (619) 698-9375 | Paband Medical Corp 5111 Garfield St Ste B La Mesa CA 91941-5148 Ph: (619) 698-9375 |
NPI Number | 1801287008 |
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Provider Enumeration Date | 02/10/2015 |
Last Update Date | 03/06/2024 |
Medicare PECOS PAC ID | 3274844691 |
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Medicare Enrollment ID | O20150625001164 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801287008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A120108 (California) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Rashid Paband |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407089451 PECOS PAC ID: 0244487544 Enrollment ID: I20120821000790 |
Provider Name | Fengqing Zhu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952099764 PECOS PAC ID: 0749635878 Enrollment ID: I20231010002866 |
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