Silvergate Medical Corp. | |
16769 Bernardo Center Dr Suite K13 San Diego CA 92128-2546 | |
(760) 990-3523 | |
Not Available |
Full Name | Silvergate Medical Corp. |
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Speciality | Clinic/Center |
Location | 16769 Bernardo Center Dr, San Diego, California |
Authorized Official Name and Position | Edit E. Hegyi (DIRECTOR) |
Authorized Official Contact | 7605221360 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Silvergate Medical Corp. Po Box 27437 San Diego CA 92198-1437 Ph: (760) 990-3523 | Silvergate Medical Corp. 16769 Bernardo Center Dr Suite K13 San Diego CA 92128-2546 Ph: (760) 990-3523 |
NPI Number | 1215343264 |
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Provider Enumeration Date | 07/10/2014 |
Last Update Date | 12/04/2014 |
Medicare PECOS PAC ID | 0941523864 |
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Medicare Enrollment ID | O20141230001154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215343264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | A89002 (California) | Primary |
Provider Name | Edit E Hegyi |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1396039301 PECOS PAC ID: 3375866296 Enrollment ID: I20150309002683 |
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