| Pacific Endocrinology | |
|
1855 1st Ave Ste 200b San Diego CA 92101-2685 | |
| (619) 432-1033 | |
| (619) 310-5426 |
| Full Name | Pacific Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1855 1st Ave Ste 200b, San Diego, California |
| Authorized Official Name and Position | Lisa Strahm (CEO) |
| Authorized Official Contact | 6194321033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Endocrinology 1855 1st Ave Ste 200b San Diego CA 92101-2685 Ph: () - | Pacific Endocrinology 1855 1st Ave Ste 200b San Diego CA 92101-2685 Ph: (619) 432-1033 |
| NPI Number | 1619502572 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/17/2020 |
| Medicare PECOS PAC ID | 0648601179 |
|---|---|
| Medicare Enrollment ID | O20200515001922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619502572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Lisa Jane Strahm |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952708075 PECOS PAC ID: 8123452554 Enrollment ID: I20191218000733 |
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