Organization
MORTEZA MIRKARIMI
Active
Other names
CLAIREMONT FAMILY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MORTEZA MIRKARIMI (OWNER)
(619) 275-5570
Entity
Organization
Contact information
Practice address
3058 CLAIREMONT DR, SAN DIEGO, CA 92117-6830
(619) 275-5570
(619) 275-2144
Mailing address
3058 CLAIREMONT DR., SAN DIEGO, CA 92117
(619) 275-5570
(619) 275-2144
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A39662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A39662
—
CA
Enumeration date
10/03/2007
Last updated
06/12/2008
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