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Organization
ENCOMPASS PRIVATE CLINIC
Active
Organization
ENCOMPASS PRIVATE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAJVARDI MD (CEO)
(619) 460-7775
Entity
Organization
Contact information
Practice address
7051 ALVARADO RD, LA MESA, CA 91942-8901
(619) 460-7775
Mailing address
7051 ALVARADO RD, LA MESA, CA 91942-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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