Fairmount Medical Clinic

NPI 1760655534 - Family Medicine - 207Q00000X

NPI Details
NPI 1760655534
Enumeration Date 04/11/2008
Last Updated 04/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MOHAMMED T MOHAMMED
Position OWNER
Phone (619) 325-1819
Fax
Practice Location
4074 FAIRMONT AVE
SAN DIEGO CA, 92105-1608, US
Phone (619) 325-1819
Fax
Business Location
4074 FAIRMONT AVE
SAN DIEGO CA, 92105-1608, US
Phone (619) 325-1819
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Fairmount Medical Clinic NPI is 1760655534, taxonomy code is 207Q00000X Fairmount Medical Clinic physically located at 4074 Fairmont Ave, San Diego CA, 92105-1608. NPI Number 1033115704 has the healthcare provider type.

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1760655534 NPI number is provided on an as is basis without warranty of any kind. 1760655534 is maintained by the National Plan & Provider Enumeration System. The contents of Fairmount Medical Clinic are for informational purposes only.