# EMBRASSE RESOURCES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275030322
- **Authorized official:** TWEE HYLER (ADMINSTRATOR)
- **Authorized official phone:** (818) 645-6636

## Contact information

- **Practice address:** 550 W VISTA WAY STE 103, VISTA, CA 92083-5735
- **Practice address phone:** (760) 305-7566
- **Mailing address:** 550 W VISTA WAY STE 103, VISTA, CA 92083-5735
- **Mailing address phone:** (760) 305-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | A122488 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2018
- **Last updated:** 04/06/2018
