| Pacific Senior Group | |
|
2424 Vista Way Ste 105 Oceanside CA 92054-6178 | |
| (858) 209-3717 | |
| (858) 216-1905 |
| Full Name | Pacific Senior Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2424 Vista Way Ste 105, Oceanside, California |
| Authorized Official Name and Position | Karanbir Brar (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8582093717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Senior Group 8861 Villa La Jolla Dr Unit 12016 La Jolla CA 92039-7073 Ph: (858) 209-3717 | Pacific Senior Group 2424 Vista Way Ste 105 Oceanside CA 92054-6178 Ph: (858) 209-3717 |
| NPI Number | 1154104461 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 6406204270 |
|---|---|
| Medicare Enrollment ID | O20231205000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154104461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Karanbir Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306191473 PECOS PAC ID: 0941425623 Enrollment ID: I20140714001742 |
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