# ASHEH & DAUGHETY MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vitality Wellness Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528733185
- **Authorized official:** DR. JASON DAUGHETY D.O. (PRESIDENT)
- **Authorized official phone:** (619) 929-4343

## Contact information

- **Practice address:** 16766 BERNARDO CENTER DR STE 206, SAN DIEGO, CA 92128-2502
- **Practice address phone:** (858) 848-5249
- **Practice address fax:** (451) 728-9751
- **Mailing address:** 12842 STONE CANYON RD, POWAY, CA 92064-2037
- **Mailing address phone:** (619) 929-4343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083A0300X | Addiction Medicine (Preventive Medicine) Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 08/14/2021
- **Last updated:** 10/19/2021