| San Diego Infectious Disease Consultants | |
|
614 E 4th St National City CA 91950-1346 | |
| (619) 869-1296 | |
| Not Available |
| Full Name | San Diego Infectious Disease Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 614 E 4th St, National City, California |
| Authorized Official Name and Position | Felisa Velesrubio (CEO) |
| Authorized Official Contact | 6198691296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Infectious Disease Consultants Po Box 116 National City CA 91951-0116 Ph: (619) 869-1296 | San Diego Infectious Disease Consultants 614 E 4th St National City CA 91950-1346 Ph: (619) 869-1296 |
| NPI Number | 1629229752 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 01/23/2009 |
| Medicare PECOS PAC ID | 6709949357 |
|---|---|
| Medicare Enrollment ID | O20090108000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629229752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (California) | Primary |
| Provider Name | Felisa U Velesrubio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508928227 PECOS PAC ID: 1153429113 Enrollment ID: I20090108000121 |
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