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MORTEZA MIRKARIMI NPI 1679760714


NPI Information

NPI: 1679760714
Provider Name: MORTEZA MIRKARIMI

Doing Business As: CLAIREMONT FAMILY MEDICAL GROUP

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
3058 CLAIREMONT DR
SAN DIEGO, CA
ZIP 92117
Phone: (619) 275-5570
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MORTEZA MIRKARIMI is a health service clinic center in San Diego, CA. MORTEZA MIRKARIMI NPI is 1679760714. The provider is registered as an organization entity type.
The provider Is Doing Business As Clairemont Family Medical Group.

The provider's business location address is:

3058 CLAIREMONT DR
SAN DIEGO, CA
ZIP 92117-830
Phone: (619) 275-5570
Fax: (619) 275-2144

The provider's authorized official is Morteza Mirkarimi .
The authorized official title is Owner and has the following contact phone number (619) 275-5570.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 6/12/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceA39662CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A39662MEDICAIDCALIFORNIA
2W10005MEDICARE PIN
3A85317MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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