| Imagiwill Med Co | |
|
1350 Columbia St Suite 800 San Diego CA 92101-3454 | |
| (619) 356-1446 | |
| (619) 618-4530 |
| Full Name | Imagiwill Med Co |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1350 Columbia St, San Diego, California |
| Authorized Official Name and Position | Araz Tawfique (OWNER) |
| Authorized Official Contact | 6193561446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imagiwill Med Co Po Box 1770 La Mesa CA 91944-1770 Ph: (619) 464-1165 | Imagiwill Med Co 1350 Columbia St Suite 800 San Diego CA 92101-3454 Ph: (619) 356-1446 |
| NPI Number | 1447671185 |
|---|---|
| Provider Enumeration Date | 12/24/2013 |
| Last Update Date | 12/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447671185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A109527 (California) | Primary |
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