Point Loma Family & Aesthetics Medical Group | |
2931 Jarvis St San Diego CA 92106-2314 | |
(619) 222-2355 | |
(619) 222-2721 |
Full Name | Point Loma Family & Aesthetics Medical Group |
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Speciality | Family Medicine |
Location | 2931 Jarvis St, San Diego, California |
Authorized Official Name and Position | David Claude Ryan (PHYSICIAN) |
Authorized Official Contact | 6192222355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Point Loma Family & Aesthetics Medical Group 2931 Jarvis St San Diego CA 92106-2314 Ph: (619) 222-2355 | Point Loma Family & Aesthetics Medical Group 2931 Jarvis St San Diego CA 92106-2314 Ph: (619) 222-2355 |
NPI Number | 1568762508 |
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Provider Enumeration Date | 10/25/2010 |
Last Update Date | 10/25/2010 |
Medicare PECOS PAC ID | 9335335868 |
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Medicare Enrollment ID | O20101123000977 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568762508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G74922 (California) | Primary |
Provider Name | David Claude Ryan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992801997 PECOS PAC ID: 9133315666 Enrollment ID: I20101123001030 |
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