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Organization

CCTC INVESTMENTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENRIQUE CHUNG (CFO)
(619) 253-6451
Entity
Organization

Contact information

Practice address
4579 MAPLE AVE STE 1, LA MESA, CA 91941-3154
(619) 253-6451
Mailing address
1215 HOPLAND CT, CHULA VISTA, CA 91913-1438
(619) 253-6451

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
12/03/2018
Last updated
03/13/2020
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