FAITH P CHISUM

IMPERIAL BEACH COMMUNITY CLINIC

Dr FAITH P CHISUM is a female medical professional, specializing in Family Medicine. She graduated in 2005 from University Of California, San Diego School Of Medicine.

Contact

IMPERIAL BEACH COMMUNITY CLINIC

949 PALM AVE
IMPERIAL BEACH
CA
919321503

Tel: 6194293733

FAITH P CHISUM Information

Npi 1346432069
Pac Id 6002949831
Professional Enrollment Id I20100730000751
Last Name CHISUM
First Name FAITH
Middle Name P
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year 2005
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name IMPERIAL BEACH COMMUNITY CLINIC
Group Practice Pac Id 6709867880
Number Of Group Practice Members 9
Line 1 Street Address 949 PALM AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IMPERIAL BEACH
State CA
Zip Code 919321503
Phone Number 6194293733
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know FAITH P CHISUM?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.