Family & Preventive Medical Center of Chula Vista a Medical Corporatio
Family & Preventive Medical Center of Chula Vista a Medical Corporatio is a Family Medicine Physician in Chula Vista, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1415 Ridgeback Rd #4Chula Vista, CA 91910-6932
Phone: (619) 421-4257
Fax: (619) 421-6913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence G46053 (CA) |
|---|
Record details
| NPI number | 1538223813 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Malone — President · (619) 421-4257 |
| NPI enumerated | December 20, 2006 |
| Last updated in NPPES | November 11, 2024 |
| Certification date | November 11, 2024 |
| Mailing address | 1415 Ridgeback Rd, 4, Chula Vista, CA 91910-6932 |
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