| Andres Smith M.d. A Professional Medical Corporation | |
|
7227 Broadway Ste 405 Lemon Grove CA 91945-1505 | |
| (619) 253-6451 | |
| Not Available |
| Full Name | Andres Smith M.d. A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 7227 Broadway Ste 405, Lemon Grove, California |
| Authorized Official Name and Position | Andres Smith (PRESIDENT) |
| Authorized Official Contact | 6197377511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andres Smith M.d. A Professional Medical Corporation 7227 Broadway Ste 405 Lemon Grove CA 91945-1505 Ph: (619) 253-6451 | Andres Smith M.d. A Professional Medical Corporation 7227 Broadway Ste 405 Lemon Grove CA 91945-1505 Ph: (619) 253-6451 |
| NPI Number | 1225664964 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 7416388129 |
|---|---|
| Medicare Enrollment ID | O20200513002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225664964 | NPI | - | NPPES |
| Provider Name | Andres Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548270200 PECOS PAC ID: 5294862371 Enrollment ID: I20100421000499 |
| Provider Name | Cristina Tobon-chung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053735019 PECOS PAC ID: 1951602549 Enrollment ID: I20151228000892 |
| Provider Name | John Danjuma Adeiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174918585 PECOS PAC ID: 9234417890 Enrollment ID: I20161102000715 |
| Provider Name | Marriane D Zurbano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174058762 PECOS PAC ID: 5496019242 Enrollment ID: I20180503001256 |
| Provider Name | Shana Marie Tyler-henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669012571 PECOS PAC ID: 7113340118 Enrollment ID: I20200709001587 |
| Provider Name | Leonardo Romero Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417549205 PECOS PAC ID: 3274931423 Enrollment ID: I20211001002643 |
| Provider Name | Yohan Han Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609515642 PECOS PAC ID: 7012373244 Enrollment ID: I20230515000596 |
| Provider Name | Lyan Love G. Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063759181 PECOS PAC ID: 1254777436 Enrollment ID: I20240311000859 |
Cristina Tobon-chung Fnp A Professional Nursing Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7227 Broadway Ste 402, Lemon Grove, CA 91945 Phone: 619-410-9554 Fax: 619-567-3500 | |
Olive Tree Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 Broadway Ste 405, Lemon Grove, CA 91945 Phone: 213-663-8836 | |
Family Health Centers Of San Diego, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420 | |
Family Health Centers Of San Diego, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7592 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2300 Fax: 619-237-1856 | |
Family Health Centers Of San Diego, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7586 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2300 Fax: 619-237-1856 | |
Family Health Centers Of San Diego, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7828 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4470 Fax: 619-269-8669 |