| Primomd, Inc | |
|
548 Market St Ste 50030 San Francisco CA 94104-5401 | |
| (415) 985-7102 | |
| Not Available |
| Full Name | Primomd, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 548 Market St Ste 50030, San Francisco, California |
| Authorized Official Name and Position | Jackielyn Harris (DIRECTOR) |
| Authorized Official Contact | 4159857102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primomd, Inc 548 Market St Ste 50030 San Francisco CA 94104-5401 Ph: (415) 985-7102 | Primomd, Inc 548 Market St Ste 50030 San Francisco CA 94104-5401 Ph: (415) 985-7102 |
| NPI Number | 1366196396 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 05/16/2023 |
| Medicare PECOS PAC ID | 0345635611 |
|---|---|
| Medicare Enrollment ID | O20220323001930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366196396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David A Portier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118639 PECOS PAC ID: 0143407551 Enrollment ID: I20110613000584 |
| Provider Name | Mohammed Shweikeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932548880 PECOS PAC ID: 6002107570 Enrollment ID: I20190114002889 |
| Provider Name | Lydia Somi Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235620287 PECOS PAC ID: 7911308473 Enrollment ID: I20210622002794 |
| Provider Name | Airene Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245972835 PECOS PAC ID: 8628458668 Enrollment ID: I20220707002582 |
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