| San Diego Mobile Physicians | |
|
12285 Scripps Poway Pkwy Ste 103 Poway CA 92064 | |
| (760) 622-2773 | |
| (858) 842-1168 |
| Full Name | San Diego Mobile Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 12285 Scripps Poway Pkwy Ste 103, Poway, California |
| Authorized Official Name and Position | Michael Cutler (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7606222773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Mobile Physicians 15904 Dyer Ln San Diego CA 92127-6195 Ph: (760) 622-2773 | San Diego Mobile Physicians 12285 Scripps Poway Pkwy Ste 103 Poway CA 92064 Ph: (760) 622-2773 |
| NPI Number | 1396235271 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 3678471729 |
|---|---|
| Medicare Enrollment ID | O20180718004241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396235271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A51232 (California) | Primary |
| Provider Name | Michael Cutler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871620518 PECOS PAC ID: 5991618399 Enrollment ID: I20141203002533 |
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