San Diego Regional P.e.t. Center, Llc

NPI 1104879121 - Internal Medicine - 207R00000X

NPI Details
NPI 1104879121
Enumeration Date 05/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TOM TOM
Position MANAGER
Phone (858) 499-0230
Fax (858) 499-0231
Practice Location
7625 MESA COLLEGE DR
102
SAN DIEGO CA, 92111-5343, US
Phone (858) 499-0230
Fax (858) 499-0231
Business Location
PO BOX 910026
SAN DIEGO CA, 92191-0026, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1104879121 NPI Number
 

According to our database, San Diego Regional P.e.t. Center, Llc NPI is 1104879121, taxonomy code is 207R00000X San Diego Regional P.e.t. Center, Llc physically located at 7625 Mesa College Dr, San Diego CA, 92111-5343. NPI Number 1033115704 has the healthcare provider type.

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1104879121 NPI number is provided on an as is basis without warranty of any kind. 1104879121 is maintained by the National Plan & Provider Enumeration System. The contents of San Diego Regional P.e.t. Center, Llc are for informational purposes only.