| Michelle Stephanie Lough, | |
|
1666 Precision Park Ln, San Ysidro, CA 92173-1346 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Michelle Stephanie Lough |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1666 Precision Park Ln, San Ysidro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053816496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A165872 (California) | Primary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Stephanie Lough, 1601 Precision Park Ln, San Ysidro, CA 92173-1345 Ph: (619) 662-4100 | Michelle Stephanie Lough, 1666 Precision Park Ln, San Ysidro, CA 92173-1346 Ph: (619) 662-4100 |
Jay Downey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-424-4463 Fax: 619-428-7952 | |
Dr. Justin Michael Bennink, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Cesar Duque Gomez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952 | |
Karla Jannet Garcia, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6349 Fax: 619-428-7952 | |
Dr. Ryan William Mcintyre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Charles R Davis, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 303-579-9268 |