| St. Paul's Pace | |
|
111 Elm St San Diego CA 92101-2692 | |
| (619) 677-3800 | |
| (619) 781-8186 |
| Full Name | St. Paul's Pace |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 111 Elm St, San Diego, California |
| Authorized Official Name and Position | Amanda Joy Gois (MARKETING DIRECTOR) |
| Authorized Official Contact | 6196773800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Paul's Pace 111 Elm St San Diego CA 92101-2692 Ph: (619) 677-3800 | St. Paul's Pace 111 Elm St San Diego CA 92101-2692 Ph: (619) 677-3800 |
| NPI Number | 1386987915 |
|---|---|
| Provider Enumeration Date | 04/02/2013 |
| Last Update Date | 04/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386987915 | NPI | - | NPPES |
| 057 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 550001964 (California) | Primary |
| 305R00000X | Preferred Provider Organization | (California) | Secondary |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 | |
Munoz Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7345 Linda Vista Rd, Suite A, San Diego, CA 92111 Phone: 858-565-2150 Fax: 858-565-2570 |