| Robert Houghton, M.d., Inc. | |
|
1855 1st Ave Ste. 200b San Diego CA 92101-2685 | |
| (619) 233-4044 | |
| Not Available |
| Full Name | Robert Houghton, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1855 1st Ave, San Diego, California |
| Authorized Official Name and Position | Chris Bobritchi (OFFICE MANAGER) |
| Authorized Official Contact | 6192334044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Houghton, M.d., Inc. 1855 1st Ave Ste. 200b San Diego CA 92101-2685 Ph: (619) 233-4044 | Robert Houghton, M.d., Inc. 1855 1st Ave Ste. 200b San Diego CA 92101-2685 Ph: (619) 233-4044 |
| NPI Number | 1053670596 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 7618124181 |
|---|---|
| Medicare Enrollment ID | O20120906000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053670596 | NPI | - | NPPES |
| 00A497740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A49774 (California) | Primary |
| Provider Name | Robert A Houghton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124138045 PECOS PAC ID: 2860649340 Enrollment ID: I20120906000375 |
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