# DIRECT HEALTH MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Diego Spine & Rehab Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376744649
- **Authorized official:** BRETT K ALLAN D.C. (PRESIDENT)
- **Authorized official phone:** (858) 573-0550

## Contact information

- **Practice address:** 9610 GRANITE RIDGE DR, SUITE C, SAN DIEGO, CA 92123-2684
- **Practice address phone:** (858) 573-0550
- **Practice address fax:** (858) 573-0551
- **Mailing address:** 9610 GRANITE RIDGE DR, SUITE C, SAN DIEGO, CA 92123-2684
- **Mailing address phone:** (858) 573-0550
- **Mailing address fax:** (858) 573-0551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | FNP31664 | CA | — |
| 207Q00000X | Family Medicine Physician | FNP31664 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | FNP31664 | CA | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 07/29/2010