| Sorrento Mesa Medical Group Professional Corporation | |
|
5440 Morehouse Dr Ste 1700 San Diego CA 92121-6703 | |
| (858) 455-7657 | |
| (858) 455-5014 |
| Full Name | Sorrento Mesa Medical Group Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5440 Morehouse Dr Ste 1700, San Diego, California |
| Authorized Official Name and Position | Bindu Singhal (PRESIDENT) |
| Authorized Official Contact | 8584557657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorrento Mesa Medical Group Professional Corporation 5613 Meadows Del Mar San Diego CA 92130-4867 Ph: (858) 455-7657 | Sorrento Mesa Medical Group Professional Corporation 5440 Morehouse Dr Ste 1700 San Diego CA 92121-6703 Ph: (858) 455-7657 |
| NPI Number | 1306851266 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 10/17/2022 |
| Medicare PECOS PAC ID | 4587621073 |
|---|---|
| Medicare Enrollment ID | O20041216000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306851266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (California) | Primary |
| Provider Name | Bindu Singhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073546057 PECOS PAC ID: 8921065418 Enrollment ID: I20041220000244 |
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