Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Cottel MD, In

Organization Non-Pharmacy Dispensing Site · NPI 1750521241

Jill Cottel MD, In is a Non-Pharmacy Dispensing Site in Poway, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
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Practice location Address checks out

12630 Monte Vista Rd 209
Poway, CA 92064-2530
Phone: (858) 312-1672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence 65247 (CA)

Record details

NPI number1750521241
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Poway Integrative Medicine Center
NPI enumeratedFebruary 24, 2009
Last updated in NPPESMay 5, 2016
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701

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