South Bay Internal Medicine and Family Practice
NPI #1386914422 in San Diego, California
Provider Information
- NPI Number
- 1386914422
- Entity Type
- Organization
- Organization Name
- South Bay Internal Medicine and Family Practice
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jan 6, 2012
- Last Updated
- Oct 25, 2012
Practice Location
- Address
- 374 H STREET
- Address 2
- 202
- City
- San Diego
- State
- California
- ZIP Code
- 92107
- Phone
- (619) 426-4546
Authorized Official
- Name
- KENNY HEINE
- Title
- SR DIRECTOR OPS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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