| Mark Shaffer, MD | |
|
7877 Parkway Dr, Suite1b, La Mesa, CA 91942-2000 | |
| (619) 461-3717 | |
| (619) 461-5663 |
| Full Name | Mark Shaffer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 7877 Parkway Dr, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255436804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C42649 (California) | Primary |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Shaffer, MD 7877 Parkway Dr, Suite1b, La Mesa, CA 91942-2000 Ph: (619) 461-3717 | Mark Shaffer, MD 7877 Parkway Dr, Suite1b, La Mesa, CA 91942-2000 Ph: (619) 461-3717 |
Alborz Hassankhani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481 | |
Paul Y Abou, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711 | |
Rosemary Ting Tu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311 | |
Dr. Lloyd Stuart Kuritsky, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864 | |
Purushotham Kotha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995 | |
Dr. Leila Sofia Bolandgray, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916 | |
Michael H Michalski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5358 Jackson Dr, Suite 1, La Mesa, CA 91942 Phone: 619-667-7072 Fax: 619-667-7064 |