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Organization
SAN DIEGO PREP INC
Active
Organization
SAN DIEGO PREP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FAM MD (COO)
(559) 579-8343
Entity
Organization
Contact information
Practice address
1665 UNION ST STE A, SAN DIEGO, CA 92101-2906
(619) 736-1772
(619) 373-9206
Mailing address
1665 UNION ST STE A, SAN DIEGO, CA 92101-2906
(559) 579-8343
(619) 373-9206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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