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NPI Code Detail

MEDICARE: INTERNAL MEDICINE AND PEDIATRICS OF SAN DIEGO

MEDICARE: INTERNAL MEDICINE AND PEDIATRICS OF SAN DIEGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician
2207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1184565814
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNAL MEDICINE AND PEDIATRICS OF SAN DIEGO
Provider Business Mailing Address
First Line : 8745 AERO DR STE 106
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1763
Country : US
Telephone Number : 858-204-2152
Fax Number : 844-749-3849
Provider Business Practice Location Address
First Line : 8745 AERO DR STE 106
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1763
Country : US
Telephone Number : 858-204-2152
Fax Number : 844-749-3849
Authorized Official
Title or Position : PRESIDENT
Name : DR. KARIM MANSOUR
Credential : MD
Telephone Number : 858-204-2152
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “INTERNAL MEDICINE AND PEDIATRICS OF SAN DIEGO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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