Bonebuilders Medical Clinic

NPI 1356401566 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1356401566
Enumeration Date 12/11/2006
Last Updated 09/22/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES N CHARLES
Position PRESIDENT
Phone (858) 678-0455
Fax (858) 678-0391
Practice Location
4510 EXECUTIVE DRIVE
SUITE 125
SAN DIEGO CA, 92121, US
Phone (858) 678-0455
Fax (858) 678-0391
Business Location
4510 EXECUTIVE DRIVE
SUITE 125
SAN DIEGO CA, 92121, US
Phone (858) 678-0455
Fax (858) 678-0391
Toxanomy
Taxonomy Code 207X00000X
License State California
License Number G60659
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According to our database, Bonebuilders Medical Clinic NPI is 1356401566, taxonomy code is 207X00000X and license number is G60659, license state is located at California. Bonebuilders Medical Clinic physically located at 4510 Executive Drive, San Diego CA, 92121. NPI Number 1033115704 has the healthcare provider type.

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1356401566 NPI number is provided on an as is basis without warranty of any kind. 1356401566 is maintained by the National Plan & Provider Enumeration System. The contents of Bonebuilders Medical Clinic are for informational purposes only.