| Stanford Employer Health Clinics | |
|
10155 Pacific Heights Boulevard San Diego CA 92121 | |
| (650) 721-3099 | |
| (650) 725-2480 |
| Full Name | Stanford Employer Health Clinics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10155 Pacific Heights Boulevard, San Diego, California |
| Authorized Official Name and Position | Kwi Bulow (LEAD PHYSICIAN) |
| Authorized Official Contact | 6507213099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanford Employer Health Clinics 211 Quarry Rd Palo Alto CA 94304-1416 Ph: (605) 721-3099 | Stanford Employer Health Clinics 10155 Pacific Heights Boulevard San Diego CA 92121 Ph: (650) 721-3099 |
| NPI Number | 1093176331 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093176331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G566674 (California) | Primary |
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Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
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