| Sherly Med Inc | |
|
3023 Bunker Hill St Ste 106 San Diego CA 92109-5701 | |
| (858) 270-0010 | |
| (858) 270-0011 |
| Full Name | Sherly Med Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3023 Bunker Hill St Ste 106, San Diego, California |
| Authorized Official Name and Position | Kaveh Bahmanpour (PRESIDENT) |
| Authorized Official Contact | 9492928337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherly Med Inc 3023 Bunker Hill St Ste 106 San Diego CA 92109-5701 Ph: (858) 270-0010 | Sherly Med Inc 3023 Bunker Hill St Ste 106 San Diego CA 92109-5701 Ph: (858) 270-0010 |
| NPI Number | 1477051316 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 7315209350 |
|---|---|
| Medicare Enrollment ID | O20180403000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477051316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kaveh Bahmanpour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538368014 PECOS PAC ID: 3375731326 Enrollment ID: I20101217000568 |
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