| Rokay Kamyar, M.d. Inc. | |
|
5119 Garfield St La Mesa CA 91941-5103 | |
| (619) 460-4055 | |
| (619) 460-5148 |
| Full Name | Rokay Kamyar, M.d. Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5119 Garfield St, La Mesa, California |
| Authorized Official Name and Position | Katherine Hendrickson (OFFICE MANAGER) |
| Authorized Official Contact | 6194604055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rokay Kamyar, M.d. Inc. 5119 Garfield St La Mesa CA 91941-5103 Ph: (619) 460-4055 | Rokay Kamyar, M.d. Inc. 5119 Garfield St La Mesa CA 91941-5103 Ph: (619) 460-4055 |
| NPI Number | 1528057957 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 0244276194 |
|---|---|
| Medicare Enrollment ID | O20050630001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528057957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rokay Kamyar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770572109 PECOS PAC ID: 9234175183 Enrollment ID: I20111206000466 |
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