MEDICUS MD INC NPI 1427076009

NPI Information

MEDICUS MD INC is a primary care clinic center in San Diego, CA. MEDICUS MD INC NPI is 1427076009. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Medicus Md Inc A Delaware Corporation.

The provider's business location address is:

3969 4TH AVE
STE #203
SAN DIEGO, CA
ZIP 92103-165
Phone: (619) 294-6500
Fax: (619) 294-6505

The provider's authorized official is Barbara Denysiak .
The authorized official title is Vice President and has the following contact phone number (619) 294-6500.

The CLIA number assigned to this NPI record is 05D1028625 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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