| Performance Sports And Family Medicine | |
|
1277 Kettner Blvd Unit 311 San Diego CA 92101-3381 | |
| (310) 925-1826 | |
| Not Available |
| Full Name | Performance Sports And Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1277 Kettner Blvd Unit 311, San Diego, California |
| Authorized Official Name and Position | Andrew Saleh (CEO) |
| Authorized Official Contact | 3109251826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Sports And Family Medicine 1277 Kettner Blvd Unit 311 San Diego CA 92101-3381 Ph: (310) 925-1826 | Performance Sports And Family Medicine 1277 Kettner Blvd Unit 311 San Diego CA 92101-3381 Ph: (310) 925-1826 |
| NPI Number | 1215381728 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215381728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A135553 (California) | Primary |
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