| Php Ins Ca Pc | |
|
11622 El Camino Real Ste 100 San Diego CA 92130-2051 | |
| (214) 666-6259 | |
| Not Available |
| Full Name | Php Ins Ca Pc |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 11622 El Camino Real Ste 100, San Diego, California |
| Authorized Official Name and Position | Sandhya L Kommana (OWNER) |
| Authorized Official Contact | 2146666259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Php Ins Ca Pc 11622 El Camino Real Ste 100 San Diego CA 92130-2051 Ph: (214) 666-6259 | Php Ins Ca Pc 11622 El Camino Real Ste 100 San Diego CA 92130-2051 Ph: (214) 666-6259 |
| NPI Number | 1477164721 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477164721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
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