Fairmount Medical Clinic in San Diego - Family Medicine
Fairmount Medical Clinic - NPI 1760655534
Fairmount Medical Clinic is a Family Medicine in San Diego, California. Fairmount Medical Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Fairmount Medical Clinic is 1760655534. The last update date is 2008-04-11.
Fairmount Medical Clinic's current location address is 4074 Fairmont Ave, San Diego, California. You can contact this provider via phone number 6193251819. The mailing address for Fairmount Medical Clinic is 4074 Fairmont Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairmount Medical Clinic |
|---|---|
| Address | 4074 Fairmont Ave, San Diego, California |
| Phone Number | 6193251819 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bailony T Mohammed |
| Credentials | M.D. |
| Telephone Number | 6194759174 |
NPI Number Detail
| NPI Number | 1760655534 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 4074 Fairmont Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921051608 |
| Phone Number | 6193251819 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Fairmount Medical Clinic by the Centers for Medicare & Medicaid Services?
The Fairmount Medical Clinic has been issued the NPI (National Provider Identifier) 1760655534, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fairmount Medical Clinic's facilities are situated?
The facilities of Fairmount Medical Clinic are physically located at the following address: 4074 Fairmont Ave, San Diego, CA, 921051608.
What is Fairmount Medical Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Fairmount Medical Clinic's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760655534 to Fairmount Medical Clinic?
The Centers for Medicare & Medicaid Services assigned the 1760655534 to Fairmount Medical Clinic on 2008-04-11.
As of what date were the Fairmount Medical Clinic's details last updated?
The information pertaining to the Fairmount Medical Clinic, including its address, specialty, and other details, was most recently updated on 2008-04-11.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC