Physician Support Service
NPI #1588915532 in Alta Loma, California
Provider Information
- NPI Number
- 1588915532
- Entity Type
- Organization
- Organization Name
- Physician Support Service
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 30, 2012
- Last Updated
- Sep 30, 2012
Practice Location
- Address
- 8780 19TH ST # 201
- City
- Alta Loma
- State
- California
- ZIP Code
- 91701-4608
- Phone
- (619) 995-0252
Authorized Official
- Name
- RAFA CASTRO
- Title
- BILLING DEP
- Phone
- (619) 995-0252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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