MEDICARE: COMPHIBGRU THREE

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
1	207P00000X	Emergency Medicine Physician	20A6114	CA

General Provider Information

NPI Number	:	1245210467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPHIBGRU THREE

Provider Business Mailing Address
First Line	:	3985 CUMMINGS RD
Second Line	:	SUITE 4
City	:	SAN DIEGO
State	:	CA
Zip	:	92136-5218
Country	:	US
Telephone Number	:	619-556-1466
Fax Number	:

Provider Business Practice Location Address
First Line	:	3985 CUMMINGS RD
Second Line	:	SUITE 4
City	:	SAN DIEGO
State	:	CA
Zip	:	92136-5218
Country	:	US
Telephone Number	:	619-556-1466
Fax Number	:

Authorized Official
Title or Position	:	GROUP MEDICAL OFFICER
Name	:	DR. STEVEN LEMAR BANKS
Credential	:	D.O.
Telephone Number	:	619-556-1466

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1235108010 — DEREK GAGNON M.D.
Practice Location Address:

3985 CUMMINGS RD , STE 4
SAN DIEGO, CA
92136-5218

Practice Phone: 619-572-8192
Practice Fax:

1760523773 — KATHRYN MULLINS M.D.
Practice Location Address:

E16 CALLE 7 , ESTANCIAS DE SAN FERNANDO
CAROLINA, PR
00985-5218

Practice Phone: 787-768-3431
Practice Fax:

1013110279 — AMPARO GONZALEZ M.D.
Practice Location Address:

E17 CALLE 7 , ESTANCIAS DE SAN FERNANDO
CAROLINA, PR
00985-5218

Practice Phone: 787-768-0282
Practice Fax:

1578986113 — MRS. DANUTA MARIA SIEMEK LCDC
Practice Location Address:

1777 NE LOOP 410 STE 600
SAN ANTONIO, TX
78217-5218

Practice Phone: 210-218-5506
Practice Fax: 210-829-0745

1225488182 — KATHERINE SEGARINI
Practice Location Address:

1489 NORMAN AVE
SAN JOSE, CA
95125-5218

Practice Phone: 408-836-9085
Practice Fax:

Directions to “COMPHIBGRU THREE ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.