| Ocean Beach Medical Group | |
|
1947 Cable St San Diego CA 92107-2807 | |
| (619) 223-7164 | |
| (619) 223-5443 |
| Full Name | Ocean Beach Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1947 Cable St, San Diego, California |
| Authorized Official Name and Position | Jeoffry Bruce Gordon (OWNER) |
| Authorized Official Contact | 6192237164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Beach Medical Group 1947 Cable St San Diego CA 92107-2807 Ph: (619) 223-7164 | Ocean Beach Medical Group 1947 Cable St San Diego CA 92107-2807 Ph: (619) 223-7164 |
| NPI Number | 1992710826 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992710826 | NPI | - | NPPES |
| 00G192790 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G19279 (California) | Primary |
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