OrganizationMinuteclinic Diagnostic Medical Group Of San Diego IncNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110(866) 389-2727PECOS EnrollmentBased on the most recent information from CMS, provider Minuteclinic Diagnostic Medical Group Of San Diego Inc 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 yesterday at 12:57 PM.Profile DetailsProvider ID1548909278Provider TypeOrganizationFull NameMinuteclinic Diagnostic Medical Group Of San Diego IncSubpartNoEnumeration Date6/1/2022Last Updated10/11/2024Contact InformationPractice LocationPractice Address2760 Fletcher Pkwy, El Cajon, CA 92020-2110Phone(866) 389-2727FaxUnlisted FaxMailing LocationMailing Address1 Cvs Dr, Woonsocket, RI 02895-6146PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNamePincince, Deborah Jean (Administrator)Phone(401) 770-3813Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer