Organization
MAHSHID MICHELLE HAMIDI, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHSHID MICHELLE HAMIDI MD (PRESIDENT)
(619) 443-0282
Entity
Organization
Contact information
Practice address
5222 BALBOA AVE STE 31, SAN DIEGO, CA 92117-6952
(858) 565-6394
(858) 605-6719
Mailing address
5222 BALBOA AVE STE 31, SAN DIEGO, CA 92117-6952
(858) 565-6394
(858) 605-6719
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A63702
CA
Other
Enumeration date
07/11/2017
Last updated
07/21/2022
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