Telehealth Clinical Services

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

2016010806 Issued in CA

Legal business name

TELEHEALTH CLINICAL SERVICES

Practice address

2667 Camino del Rio South #207
San Diego, CA 92108-3765

Phone

(619) 694-6389

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kameron Ibrahim

Title

President

Phone

(619) 694-6389

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1215484720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO S STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 CAMINO DEL RIO SOUTH #207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083765",
            "telephone_number": "619-694-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-694-6389"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "2016010806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Telecare San Diego Reach
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• Telehealth Clinical Services
• Telehealth Physician Network, PC
• Xiao Li Tian Teleisha
• Telekom Transportation LLC
• Mark Anthony Teles

• Prosthetic/Orthotic Supplier in San Diego, CA
• Providers in San Diego, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.