| Alice J Krull Md Inc | |
|
11858 Bernardo Plaza Ct Suite 210 San Diego CA 92128-2439 | |
| (858) 842-1980 | |
| (858) 726-6059 |
| Full Name | Alice J Krull Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11858 Bernardo Plaza Ct, San Diego, California |
| Authorized Official Name and Position | Alice J Krull (OWNER) |
| Authorized Official Contact | 8588421980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice J Krull Md Inc Po Box 1770 La Mesa CA 91944-1770 Ph: (858) 842-1980 | Alice J Krull Md Inc 11858 Bernardo Plaza Ct Suite 210 San Diego CA 92128-2439 Ph: (858) 842-1980 |
| NPI Number | 1285092387 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
| Medicare PECOS PAC ID | 8123310695 |
|---|---|
| Medicare Enrollment ID | O20160705000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285092387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alice J Krull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417994930 PECOS PAC ID: 6709987944 Enrollment ID: I20070718000572 |
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