Provider Demographics
NPI:1710195870
Name:INCI, JOSEPH MESUT
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MESUT
Last Name:INCI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MESUT
Other - Middle Name:
Other - Last Name:INCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1250 MORENA BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110
Mailing Address - Country:US
Mailing Address - Phone:619-542-4957
Mailing Address - Fax:619-275-7340
Practice Address - Street 1:1250 MORENA BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110
Practice Address - Country:US
Practice Address - Phone:619-542-4957
Practice Address - Fax:619-275-7340
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator