| Katalyst Wellness | |
|
8929 University Center Ln Ste 201 San Diego CA 92122-1008 | |
| (858) 294-2201 | |
| (858) 625-2020 |
| Full Name | Katalyst Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 8929 University Center Ln Ste 201, San Diego, California |
| Authorized Official Name and Position | Seth Camhi (PRESIDENT) |
| Authorized Official Contact | 8582942201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katalyst Wellness 8929 University Center Ln Ste 201 San Diego CA 92122-1008 Ph: (858) 294-2201 | Katalyst Wellness 8929 University Center Ln Ste 201 San Diego CA 92122-1008 Ph: (858) 294-2201 |
| NPI Number | 1982290532 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Medicare PECOS PAC ID | 2466865753 |
|---|---|
| Medicare Enrollment ID | O20210105002299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982290532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Seth Camhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467770826 PECOS PAC ID: 3779725999 Enrollment ID: I20130816000530 |
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