| Presidio Medical Group Inc | |
|
4440 Lamont St San Diego CA 92109-4560 | |
| (858) 270-7633 | |
| (858) 270-7692 |
| Full Name | Presidio Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4440 Lamont St, San Diego, California |
| Authorized Official Name and Position | James A Novak (PRESIDENT) |
| Authorized Official Contact | 8582720022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presidio Medical Group Inc 4440 Lamont St San Diego CA 92109-4560 Ph: (858) 270-7633 | Presidio Medical Group Inc 4440 Lamont St San Diego CA 92109-4560 Ph: (858) 270-7633 |
| NPI Number | 1003996216 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003996216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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