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Organization
FIT ATHLETIC CLUB SAN DIEGO LLC
Active
Organization
FIT ATHLETIC CLUB SAN DIEGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SHAW (GENERAL MANAGER)
(858) 675-4480
Entity
Organization
Contact information
Practice address
350 10TH AVE, SAN DIEGO, CA 92101-7496
(619) 764-5348
Mailing address
350 10TH AVE, SAN DIEGO, CA 92101-7496
(619) 764-5348
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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