Margaret Lillian Black | San Diego, CA • PECOS Search

Margaret Lillian Black

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-6400 (518) 569-2513

PECOS Enrollment

Based on the most recent information from CMS, provider Margaret Lillian Black does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1205539988
Provider Type
Individual
Full Name
Black, Margaret Lillian
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/23/2023
Last Updated
11/16/2024

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

Unlisted Fax

Mailing Location

1508 Harlequin Ct, Chesapeake, VA 23321-1246

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 0101284244 Virginia