| San Diego Digestive Disease Consultants, Inc. A Medical Group | |
|
8008 Frost St Ste 200 San Diego CA 92123-4205 | |
| (858) 292-7527 | |
| (858) 292-7804 |
| Full Name | San Diego Digestive Disease Consultants, Inc. A Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 8008 Frost St, San Diego, California |
| Authorized Official Name and Position | Richard Snyder (ADMINISTRATOR) |
| Authorized Official Contact | 8582927527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Digestive Disease Consultants, Inc. A Medical Group 8008 Frost St Ste 200 San Diego CA 92123-4205 Ph: (858) 292-7527 | San Diego Digestive Disease Consultants, Inc. A Medical Group 8008 Frost St Ste 200 San Diego CA 92123-4205 Ph: (858) 292-7527 |
| NPI Number | 1013132216 |
|---|---|
| Provider Enumeration Date | 04/15/2007 |
| Last Update Date | 08/01/2022 |
| Medicare PECOS PAC ID | 2264482413 |
|---|---|
| Medicare Enrollment ID | O20050126000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013132216 | NPI | - | NPPES |
| GR0027570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 207RG0100X (California) | Primary |
| Provider Name | Reza Khoshini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184772014 PECOS PAC ID: 3173589306 Enrollment ID: I20041208000968 |
| Provider Name | Hyun S Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013023365 PECOS PAC ID: 0648220707 Enrollment ID: I20050126000639 |
| Provider Name | Daniel Y Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063522613 PECOS PAC ID: 9537119698 Enrollment ID: I20080401000854 |
| Provider Name | Sergio R Flores |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588674022 PECOS PAC ID: 5991755050 Enrollment ID: I20081201000472 |
| Provider Name | Arthur Yan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437354164 PECOS PAC ID: 6305039140 Enrollment ID: I20101025000809 |
| Provider Name | Cainan H Foltz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033434071 PECOS PAC ID: 7911154901 Enrollment ID: I20120827000449 |
| Provider Name | Shehla Arain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497927784 PECOS PAC ID: 0042364630 Enrollment ID: I20140613001280 |
| Provider Name | William Chang-yuen Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366837890 PECOS PAC ID: 9032403480 Enrollment ID: I20230317000616 |
| Provider Name | Tobiah Maya Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306525662 PECOS PAC ID: 1759739543 Enrollment ID: I20231205001822 |
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