| Internal Medi Cine Associates Medical Group Of San Diego, Inc | |
|
3260 Third Ave San Diego CA 92103 | |
| (619) 297-3737 | |
| (619) 297-0443 |
| Full Name | Internal Medi Cine Associates Medical Group Of San Diego, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3260 Third Ave, San Diego, California |
| Authorized Official Name and Position | Paul Fredrick Speckart (PRESIDENT) |
| Authorized Official Contact | 6192973737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medi Cine Associates Medical Group Of San Diego, Inc 3260 Third Ave San Diego CA 92103 Ph: (619) 297-3737 | Internal Medi Cine Associates Medical Group Of San Diego, Inc 3260 Third Ave San Diego CA 92103 Ph: (619) 297-3737 |
| NPI Number | 1528152105 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/22/2012 |
| Medicare PECOS PAC ID | 0143113282 |
|---|---|
| Medicare Enrollment ID | O20040203001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528152105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C31776 (California) | Primary |
| Provider Name | Raymond G Pigeon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366404923 PECOS PAC ID: 7911989298 Enrollment ID: I20040601001489 |
| Provider Name | Paul F Speckart |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447346192 PECOS PAC ID: 1153396379 Enrollment ID: I20040831001337 |
| Provider Name | Lisa C Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003885302 PECOS PAC ID: 8426095357 Enrollment ID: I20050412001459 |
| Provider Name | Bhupinder S Khehar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831151992 PECOS PAC ID: 0648216481 Enrollment ID: I20050727000321 |
| Provider Name | Rong Shi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669630521 PECOS PAC ID: 1951434950 Enrollment ID: I20100728000097 |
| Provider Name | Maysam Riadh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801417720 PECOS PAC ID: 0143694570 Enrollment ID: I20230324002110 |
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