| Genesee Medical Group Inc | |
|
7830 Clairemont Mesa Blvd Suite 100 San Diego CA 92111-1619 | |
| (858) 268-1111 | |
| (858) 268-0761 |
| Full Name | Genesee Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7830 Clairemont Mesa Blvd, San Diego, California |
| Authorized Official Name and Position | Donald P Tecca (OWNER) |
| Authorized Official Contact | 8582681111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesee Medical Group Inc 7830 Clairemont Mesa Blvd Suite 100 San Diego CA 92111-1619 Ph: (858) 268-1111 | Genesee Medical Group Inc 7830 Clairemont Mesa Blvd Suite 100 San Diego CA 92111-1619 Ph: (858) 268-1111 |
| NPI Number | 1043480320 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043480320 | NPI | - | NPPES |
| WG45791A | Other | MEDICARE GROUP | |
| 0010860 | Other | CA | MEDICAID GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G45791 (California) | Primary |
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