| Leila Bolandgray, M.d. Inc. | |
|
5555 Grossmont Center Dr La Mesa CA 91942-3019 | |
| (619) 937-6349 | |
| (866) 313-8916 |
| Full Name | Leila Bolandgray, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Authorized Official Name and Position | Leila Sofia Bolandgray (PRESIDENT) |
| Authorized Official Contact | 6199376349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leila Bolandgray, M.d. Inc. Po Box 2775 La Mesa CA 91943-2775 Ph: (619) 937-6349 | Leila Bolandgray, M.d. Inc. 5555 Grossmont Center Dr La Mesa CA 91942-3019 Ph: (619) 937-6349 |
| NPI Number | 1619154689 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 01/22/2008 |
| Medicare PECOS PAC ID | 5991874463 |
|---|---|
| Medicare Enrollment ID | O20080523000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619154689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A72176 (California) | Primary |
| Provider Name | Leila S Bolandgray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093931727 PECOS PAC ID: 8729157292 Enrollment ID: I20080523000310 |
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Mohammed Miradi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942 Phone: 619-644-1483 | |
Encompass Family And Internal Medicine Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942 Phone: 619-460-7775 Fax: 858-519-5446 | |
Dap Health-la Mesa Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Raed Al-naser, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-589-9158 Fax: 619-462-0371 |