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Organization
FAMILY WELLNESS MEDICAL CORPORATION
Active
Organization
FAMILY WELLNESS MEDICAL CORPORATION
Active
Other names
FAMILY WELLNESS MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABATUNDE ADEGBITE JINADU MEDICAL DOCTOR (PRESIDENT/PRINCIPAL)
(661) 302-9884
Entity
Organization
Contact information
Practice address
3582 NATIONAL AVE, SUITE #2, SAN DIEGO, CA 92113-3157
(619) 338-0787
(619) 338-0782
Mailing address
190 AVENIDA ALTAMIRA, CHULA VISTA, CA 91914-4602
(619) 338-0787
(619) 338-0782
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
C038721
CA
208D00000X
General Practice Physician
Primary
C038721
CA
Other
Enumeration date
10/26/2007
Last updated
12/10/2009
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