Medaid Center
NPI #1508091307 in La Jolla, California
Provider Information
- NPI Number
- 1508091307
- Entity Type
- Organization
- Organization Name
- Medaid Center
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 22, 2009
- Last Updated
- Aug 15, 2009
Practice Location
- Address
- 5580 LA JOLLA BLVD
- Address 2
- SUITE 611
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-7651
- Phone
- (858) 405-9653
Authorized Official
- Name
- MARK C HENDERSON
- Title
- CEO
- Phone
- (858) 405-9653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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