Clairemont Family Medical Group

LBN: Morteza Mirkarimi
Clairemont Family Medical Group is an health care organization with primary practice located at 3058 Clairemont Dr , San Diego CA 92117-6830. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Morteza Mirkarimi can be contacted via phone (619) 275-5570, or through Mirkarimi, Morteza via phone (619) 275-5570.

Contact Information

Primary practice address
3058 Clairemont Dr San Diego CA 92117-6830
Fax: (619) 275-2144
Website:
Authorized official contact:
Name: Mirkarimi, Morteza

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X A39662 California

Profile Details

NPI number 1679760714
LBN Legal business name Morteza Mirkarimi
DBA Doing business as Clairemont Family Medical Group
Authorized official Mirkarimi, Morteza
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Jun 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679760714 NPPES
California MEDICAID 00A39662

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