John Nmn Cleary | San Diego, CA • PECOS Search

John Nmn Cleary

Specialist

Other Service Providers

7920 Frost St, San Diego, CA 92123-2736

PECOS Enrollment

Based on the most recent information from CMS, provider John Nmn Cleary 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 2 days ago.

Profile Details

Provider ID
1265523740
Provider Type
Individual
Full Name
Cleary, John Nmn
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/27/2006
Last Updated
7/8/2007

Contact Information

Practice Location

7920 Frost St, San Diego, CA 92123-2736

(858) 292-1115

Mailing Location

7920 Frost St, San Diego, CA 92123-2736

(858) 292-1115

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer California