| Holly Mansour, | |
|
3131 Berger Ave Ste 200, San Diego, CA 92123-4203 | |
| (858) 244-6800 | |
| (858) 244-6909 |
| Full Name | Holly Mansour |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 3131 Berger Ave Ste 200, San Diego, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760351415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharp Memorial Hospital | San diego, CA | Hospital |
| Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
| Grossmont Hospital | La mesa, CA | Hospital |
| Sharp Coronado Hospital And Hlthcr Ctr | Coronado, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| San Diego Cardiac Center Medical Group Inc. | 8628045986 | 21 |
| Entity Name | San Diego Cardiac Center Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801980446 PECOS PAC ID: 8628045986 Enrollment ID: O20040917000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Mansour, 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 Ph: (858) 244-6800 | Holly Mansour, 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 Ph: (858) 244-6800 |
Jennifer Lee Hanley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6655 Alvarado Rd, San Diego, CA 92120 Phone: 949-632-5442 |
Ginger R Lucero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5717 Pacific Center Blvd Ste 200, San Diego, CA 92121 Phone: 858-859-1188 |
Dr. Jennifer Anne Freimund, M.D. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3350 La Jolla Village Dr, San Diego, CA 92161 Phone: 858-552-7475 |
Vanessa Wang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7830 Clairemont Mesa Blvd, Suite 203, San Diego, CA 92111 Phone: 858-300-2626 |
James Hamilton Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-657-8200 Fax: 858-657-8235 |
Carter Donald Copeland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7625 Mesa College Dr Ste 200a, San Diego, CA 92111 Phone: 858-223-2172 |
Arianna Ide Ramirez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 220 Euclid Ave Ste 30, San Diego, CA 92114 Phone: 888-743-7526 |