# FREDERICK W CLOSE, MD, INC

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

## Provider details

- **NPI number:** 1447521265
- **Authorized official:** MRS. ELIZABETH A MESSINA (OFFICE MANAGER)
- **Authorized official phone:** (619) 462-0900

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR, BLDG 3 STE 156, LA MESA, CA 91942-3020
- **Practice address phone:** (619) 462-0900
- **Practice address fax:** (619) 462-3584
- **Mailing address:** 5565 GROSSMONT CENTER DR, BLDG 3 STE 156, LA MESA, CA 91942-3020
- **Mailing address phone:** (619) 462-0900
- **Mailing address fax:** (619) 462-3584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C36625 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 01/25/2012