Look up the most recent NPI and PECOS records

Hemorrhoid Care Medical Clinic

Specialist

Other Service Providers

8705 Complex Dr, San Diego, CA 92123-1401

PECOS Enrollment

Based on the most recent information from CMS, provider Hemorrhoid Care Medical Clinic 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
1881142073
Provider Type
Organization
Full Name
Hemorrhoid Care Medical Clinic

Subpart
No
Enumeration Date
9/15/2016
Last Updated
9/15/2016

Contact Information

Practice Location

8705 Complex Dr, San Diego, CA 92123-1401

(858) 565-6000

(858) 627-0076

Mailing Location

8705 Complex Dr, San Diego, CA 92123-1401

(858) 565-6000

(858) 627-0076

Authorized Official

Gertsch, Ronald L (Medical Director)

(858) 565-6000

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License C35744 California

Hemorrhoid Care Medical Clinic

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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Wixom, Christopher Rich

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Cohen, Mansour Joshua

Hodapp, John Michael

Meltzer, Eli Owen

Stenehjem, Jerome

Radiation Medical Group

M. Joshua Cohen, M.D. Inc.