| Stuart B Kipper MD Inc. | |
|
700 Garden View Ct Suite 200 Encinitas CA 92024-2478 | |
| (760) 632-1018 | |
| Not Available |
| Full Name | Stuart B Kipper MD Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Garden View Ct, Encinitas, California |
| Authorized Official Name and Position | Jeri Canfield (ADMINISTRATOR) |
| Authorized Official Contact | 7608259727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart B Kipper MD Inc. 700 Garden View Ct Suite 200 Encinitas CA 92024-2478 | Stuart B Kipper MD Inc. 700 Garden View Ct Suite 200 Encinitas CA 92024-2478 Ph: (760) 632-1018 |
| NPI Number | 1205115227 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Medicare PECOS PAC ID | 7719156611 |
|---|---|
| Medicare Enrollment ID | O20110810000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205115227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Stuart B Kipper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114956570 PECOS PAC ID: 9638190606 Enrollment ID: I20101012000067 |
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