Organization
FIT ATHLETIC SOLANA BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SHAW (GENERAL MANAGER)
(858) 675-4480
Entity
Organization
Contact information
Practice address
511 S HIGHWAY 101, SOLANA BEACH, CA 92075-2211
(858) 792-4008
Mailing address
511 S HIGHWAY 101, SOLANA BEACH, CA 92075-2211
(858) 792-4008
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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