| Dba Pacific Beach Urgent Care Med. Grp. | |
|
4490 Fanuel St San Diego CA 92109-4292 | |
| (858) 274-9116 | |
| (858) 490-5321 |
| Full Name | Dba Pacific Beach Urgent Care Med. Grp. |
|---|---|
| Speciality | Family Medicine |
| Location | 4490 Fanuel St, San Diego, California |
| Authorized Official Name and Position | Lalo Avila (OFFICE MANAGER) |
| Authorized Official Contact | 8582749116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Pacific Beach Urgent Care Med. Grp. 4490 Fanuel St San Diego CA 92109-4292 Ph: (858) 274-9116 | Dba Pacific Beach Urgent Care Med. Grp. 4490 Fanuel St San Diego CA 92109-4292 Ph: (858) 274-9116 |
| NPI Number | 1275689994 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275689994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G16726 (California) | Primary |
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