| Mission Valley Medical Clinc | |
|
5333 Mission Center Rd Suite 100 San Diego CA 92108-1302 | |
| (619) 295-3355 | |
| (619) 542-1317 |
| Full Name | Mission Valley Medical Clinc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5333 Mission Center Rd, San Diego, California |
| Authorized Official Name and Position | Lawrence Stuart Pohl (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6192953355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Valley Medical Clinc 5333 Mission Center Rd Suite 100 San Diego CA 92108-1302 Ph: (619) 295-3355 | Mission Valley Medical Clinc 5333 Mission Center Rd Suite 100 San Diego CA 92108-1302 Ph: (619) 295-3355 |
| NPI Number | 1407029366 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 05/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407029366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G43808 (California) | Primary |
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