| Wellhaven Primary Care | |
| 
					5555 Reservoir Dr Ste 303 San Diego CA 92120-5181  | |
| (619) 752-2280 | |
| Not Available | 
| Full Name | Wellhaven Primary Care | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 5555 Reservoir Dr Ste 303, San Diego, California | 
| Authorized Official Name and Position | Jillion T Harris (OWNER) | 
| Authorized Official Contact | 6197522280 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Wellhaven Primary Care 5663 Balboa Ave # 517 San Diego CA 92111-2705 Ph: () -  | Wellhaven Primary Care 5555 Reservoir Dr Ste 303 San Diego CA 92120-5181 Ph: (619) 752-2280  | 
| NPI Number | 1306463542 | 
|---|---|
| Provider Enumeration Date | 07/04/2020 | 
| Last Update Date | 07/04/2020 | 
| Medicare PECOS PAC ID | 2668898719 | 
|---|---|
| Medicare Enrollment ID | O20200819002937 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306463542 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
| Provider Name | Jillion T Harris | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1366768525 PECOS PAC ID: 9436393550 Enrollment ID: I20160719002797  | 
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