| Ivan Cubas MD Inc | |
|
629 Third Ave Ste A Chula Vista CA 91910-5786 | |
| (619) 489-5611 | |
| (619) 566-4057 |
| Full Name | Ivan Cubas MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 629 Third Ave Ste A, Chula Vista, California |
| Authorized Official Name and Position | Ivan Patricio Cubas (OWNER) |
| Authorized Official Contact | 3135957329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Cubas MD Inc Po Box 27015 San Diego CA 92198-1015 Ph: (619) 489-5611 | Ivan Cubas MD Inc 629 Third Ave Ste A Chula Vista CA 91910-5786 Ph: (619) 489-5611 |
| NPI Number | 1427885854 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 4082146519 |
|---|---|
| Medicare Enrollment ID | O20241022001721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427885854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Ivan Cubas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447464912 PECOS PAC ID: 6507917176 Enrollment ID: I20141110002603 |
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