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Organization
THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE
Active
Organization
THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P. SCOTT RICKE M.D. (MEDICAL DIRECTOR)
(858) 678-0220
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW, SUITE 360, LA JOLLA, CA 92037-9124
(858) 678-0220
Mailing address
8875 COSTA VERDE BLVD, APT 407, SAN DIEGO, CA 92122-6656
(858) 678-0220
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
37788
CA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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