| San Diego Pain Consultants,pc | |
|
15725 Pomerado Rd Suite 105 Poway CA 92064-2068 | |
| (858) 485-7246 | |
| (858) 485-8676 |
| Full Name | San Diego Pain Consultants,pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15725 Pomerado Rd, Poway, California |
| Authorized Official Name and Position | Shafi M. Khalid (DIRECTOR) |
| Authorized Official Contact | 8584857246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Pain Consultants,pc 15725 Pomerado Rd Suite 105 Poway CA 92064-2068 Ph: (858) 485-7246 | San Diego Pain Consultants,pc 15725 Pomerado Rd Suite 105 Poway CA 92064-2068 Ph: (858) 485-7246 |
| NPI Number | 1740228469 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 2567479496 |
|---|---|
| Medicare Enrollment ID | O20060316000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740228469 | NPI | - | NPPES |
| 1740228469 | Medicaid | CA | |
| 1750343760 | Medicaid | CA |
| Provider Name | Shafi M Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750343760 PECOS PAC ID: 2062309586 Enrollment ID: I20060317000559 |
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