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Mariana D Compagnone

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3020 Childrens Way, Mc: 5018, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Mariana D Compagnone 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
1447561287
Provider Type
Individual
Full Name
Compagnone, Mariana D
Credential
M.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/26/2010
Last Updated
5/7/2016

Contact Information

Practice Location

3020 Childrens Way, Mc: 5018, San Diego, CA 92123-4223

(858) 966-7759

(858) 966-7525

Mailing Location

4060 Fairmount Ave, Mc: 5018, San Diego, CA 92105-1608

(619) 280-4213

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0804X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A122294 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A122294 California

Mariana D Compagnone

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Yoo, Bo Ram

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Grozavu, Sergiu