Individual ProviderAmy Nicole CallahanGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098(619) 453-6886(610) 763-6163PECOS EnrollmentBased on the most recent information from CMS, provider Amy Nicole Callahan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1437319209Provider TypeIndividualFull NameCallahan, Amy NicoleTitleDr.CredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date6/14/2008Last Updated5/27/2014Contact InformationPractice LocationPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-1098Phone(619) 453-6886FaxUnlisted FaxMailing LocationMailing Address677 7th Ave Unit 202, San Diego, CA 92101-6454Phone(610) 763-6163FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense685NebraskaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer