<unavail> in El Cajon, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in El Cajon, California. The current practice location for is 330 S Magnolia Ave Ste 203, El Cajon, California. For appointments, you can reach them via phone at (619) 350-0302. The mailing address for is 330 S Magnolia Ave Ste 203, El Cajon, California and phone number is (619) 350-0302.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003696055. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 350-0302.

Contact Information


	330 S Magnolia Ave Ste 203 El Cajon CA 92020-5224
	(619) 350-0302
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	330 S Magnolia Ave Ste 203, El Cajon, California
Authorized Official Name and Position	Marvin Razuki (OWNER)
Authorized Official Contact	8588294701
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
330 S Magnolia Ave Ste 203 El Cajon CA 92020-5224 Ph: (619) 350-0302	330 S Magnolia Ave Ste 203 El Cajon CA 92020-5224 Ph: (619) 350-0302

NPI Details:

NPI Number	1003696055
Provider Enumeration Date	10/05/2023
Last Update Date	03/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1850833302
Medicare Enrollment ID	O20240612000575

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003696055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jordan Boehler
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1316280332 PECOS PAC ID: 4385971852 Enrollment ID: I20190806002590

Provider Name	Kevin Santos
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1013614122 PECOS PAC ID: 1355887159 Enrollment ID: I20240729000149

Reviews and Comments

Clinic/Center in El Cajon, CA

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Salam Yatooma, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Colina Grande, El Cajon, CA 92019 Phone: 619-729-0559 Fax: 619-740-4204
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 W Chase Ave, El Cajon, CA 92020 Phone: 619-515-2499 Fax: 619-593-9164

- Medicare Primary Care in El Cajon, CA