| South Bay Internal Medicine And Family Practice Group Inc | |
|
374 H St Suite 202 Chula Vista CA 91910-5547 | |
| (619) 426-4546 | |
| (619) 426-7198 |
| Full Name | South Bay Internal Medicine And Family Practice Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 374 H St, Chula Vista, California |
| Authorized Official Name and Position | Noli A. Cava (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6194264546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Internal Medicine And Family Practice Group Inc 374 H St Suite 202 Chula Vista CA 91910-5547 Ph: (619) 426-4546 | South Bay Internal Medicine And Family Practice Group Inc 374 H St Suite 202 Chula Vista CA 91910-5547 Ph: (619) 426-4546 |
| NPI Number | 1174706345 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 04/21/2008 |
| Medicare PECOS PAC ID | 1153489992 |
|---|---|
| Medicare Enrollment ID | O20081022000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174706345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G98162 (California) | Secondary |
| 207R00000X | Internal Medicine | G98162 (California) | Primary |
| Provider Name | Noli A Cava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265453435 PECOS PAC ID: 3678541281 Enrollment ID: I20040921001363 |
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