| Dmck Medical Corporation | |
|
4629 Cass St Ste 51 San Diego CA 92109-2805 | |
| (619) 578-1063 | |
| Not Available |
| Full Name | Dmck Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 4629 Cass St Ste 51, San Diego, California |
| Authorized Official Name and Position | Ahmed Kabakibi (CEO) |
| Authorized Official Contact | 6195781063 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmck Medical Corporation 4629 Cass St Ste 51 San Diego CA 92109-2805 Ph: (619) 578-1063 | Dmck Medical Corporation 4629 Cass St Ste 51 San Diego CA 92109-2805 Ph: (619) 578-1063 |
| NPI Number | 1154132173 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Medicare PECOS PAC ID | 8820516917 |
|---|---|
| Medicare Enrollment ID | O20250513000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154132173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad Kabakibi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043390206 PECOS PAC ID: 0446352348 Enrollment ID: I20070223000331 |
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