| Fereshteh Jahanpanah, M.d., Apmc | |
|
343 E Main St Ste 101 El Cajon CA 92020-3942 | |
| (619) 447-6001 | |
| (619) 447-6096 |
| Full Name | Fereshteh Jahanpanah, M.d., Apmc |
|---|---|
| Speciality | Family Medicine |
| Location | 343 E Main St Ste 101, El Cajon, California |
| Authorized Official Name and Position | Charlene Anne Wulff (OFFICE MANAGER) |
| Authorized Official Contact | 6193127049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fereshteh Jahanpanah, M.d., Apmc Po Box 1626 El Cajon CA 92022-1626 Ph: (619) 447-6001 | Fereshteh Jahanpanah, M.d., Apmc 343 E Main St Ste 101 El Cajon CA 92020-3942 Ph: (619) 447-6001 |
| NPI Number | 1396082517 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 4587818083 |
|---|---|
| Medicare Enrollment ID | O20130211000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396082517 | NPI | - | NPPES |
| 1609194570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G65104 (California) | Primary |
| Provider Name | Fereshteh Jahanpanah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518034115 PECOS PAC ID: 0244227791 Enrollment ID: I20040427001636 |
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