| Modern Man Trt Llc | |
|
4306 W Point Loma Blvd Apt D San Diego CA 92107-1165 | |
| (619) 356-8973 | |
| Not Available |
| Full Name | Modern Man Trt Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4306 W Point Loma Blvd Apt D, San Diego, California |
| Authorized Official Name and Position | John Hortareas (OWNER) |
| Authorized Official Contact | 6193568973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Man Trt Llc 4306 W Point Loma Blvd Apt D San Diego CA 92107-1165 Ph: (619) 356-8973 | Modern Man Trt Llc 4306 W Point Loma Blvd Apt D San Diego CA 92107-1165 Ph: (619) 356-8973 |
| NPI Number | 1811744907 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811744907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Revivify Restorative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16445 Bernardo Center Dr, San Diego, CA 92128 Phone: 858-429-0099 Fax: 858-676-1172 | |
Nucleus Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4570 Executive Dr Ste 100, San Diego, CA 92121 Phone: 844-838-3322 | |
Moden Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Activity Rd Ste 205, San Diego, CA 92126 Phone: 888-822-1184 Fax: 888-877-3676 | |
Aldiwani Medical Group Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11409 Windy Summit Pl, San Diego, CA 92127 Phone: 832-371-3279 Fax: 619-939-4556 | |
Presidio Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lamont St, San Diego, CA 92109 Phone: 858-270-7633 Fax: 858-270-7692 | |
Michael L Butera Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6699 Alvarado Rd Ste 2309, San Diego, CA 92120 Phone: 619-286-8803 Fax: 619-286-2344 | |
San Diego Digestive Disease Consultants, Inc. A Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8008 Frost St, Ste 200, San Diego, CA 92123 Phone: 858-292-7527 Fax: 858-292-7804 |