Embrasse Resources Pc | |
550 W Vista Way Ste 103 Vista CA 92083-5735 | |
(760) 305-7566 | |
Not Available |
Full Name | Embrasse Resources Pc |
---|---|
Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 550 W Vista Way Ste 103, Vista, California |
Authorized Official Name and Position | Twee Hyler (ADMINSTRATOR) |
Authorized Official Contact | 8186456636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Embrasse Resources Pc 550 W Vista Way Ste 103 Vista CA 92083-5735 Ph: (760) 305-7566 | Embrasse Resources Pc 550 W Vista Way Ste 103 Vista CA 92083-5735 Ph: (760) 305-7566 |
NPI Number | 1275030322 |
---|---|
Provider Enumeration Date | 04/06/2018 |
Last Update Date | 04/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275030322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | A122488 (California) | Primary |
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