| Andory Integrated Health And Consulting Pc | |
|
124 Lomas Santa Fe Dr Ste 206 Solana Beach CA 92075-1252 | |
| (858) 228-4188 | |
| Not Available |
| Full Name | Andory Integrated Health And Consulting Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 Lomas Santa Fe Dr Ste 206, Solana Beach, California |
| Authorized Official Name and Position | Rick Hernandez (ADMINISTRATOR) |
| Authorized Official Contact | 7605212245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andory Integrated Health And Consulting Pc 124 Lomas Santa Fe Dr Ste 206 Solana Beach CA 92075-1252 Ph: (858) 228-4188 | Andory Integrated Health And Consulting Pc 124 Lomas Santa Fe Dr Ste 206 Solana Beach CA 92075-1252 Ph: (858) 228-4188 |
| NPI Number | 1366044745 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 11/11/2020 |
| Medicare PECOS PAC ID | 8426461088 |
|---|---|
| Medicare Enrollment ID | O20201229001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366044745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Paul M Lally |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508356130 PECOS PAC ID: 9133472194 Enrollment ID: I20210706002218 |
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