| Pacific Medical Care | |
|
1501 5th Ave Ste 200 San Diego CA 92101-3224 | |
| (619) 647-5072 | |
| (619) 309-6264 |
| Full Name | Pacific Medical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 5th Ave Ste 200, San Diego, California |
| Authorized Official Name and Position | Michael Sean Duffy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6196475072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Care 1501 5th Ave Ste 200 San Diego CA 92101-3224 Ph: (619) 647-5072 | Pacific Medical Care 1501 5th Ave Ste 200 San Diego CA 92101-3224 Ph: (619) 647-5072 |
| NPI Number | 1316175342 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 2062541741 |
|---|---|
| Medicare Enrollment ID | O20100519000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316175342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A9616 (California) | Primary |
| 335V00000X | Portable X-ray And/or Other Portable Diagnostic Imaging Supplier | 72004 (California) | Secondary |
| Provider Name | Michael S Duffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851399802 PECOS PAC ID: 8426948605 Enrollment ID: I20090407000074 |
| Provider Name | Michelle P Pent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275627655 PECOS PAC ID: 5698702256 Enrollment ID: I20130515000166 |
| Provider Name | Deborah E Katz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093977563 PECOS PAC ID: 0345488490 Enrollment ID: I20130530000576 |
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