Look up the most recent NPI and PECOS records

Marilyn Jean Kaufhold

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Marilyn Jean Kaufhold does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1295806057
Provider Type
Individual
Full Name
Kaufhold, Marilyn Jean
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/13/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3020 Childrens Way, San Diego, CA 92123-4223

(858) 576-1700

Unlisted Fax

Mailing Location

3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800

(858) 309-6303

(858) 309-6301

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License C33767 California

Provider Identifiers

ID	Description	Issuer
ID 00C337670	Description Medicaid	Issuer Unlisted California

Marilyn Jean Kaufhold

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Giboney, Jennifer Christine

Mendes, Chantal Marie

Marano, Rachel Marie

Katheria, Anup

Sarwar, Nadia

Atari, Ealla

Stump, Chari Diana

Kim, Peter Hyun-Soo

Korsand, Sid

Gracia, Michael Loy