Organization
TRICARE OUTPATIENT CLINIC CHULA VISTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY MARIE MONTANO (MEDICAL ADMINISTRATIVE OFFICER)
(619) 744-5354
Entity
Organization
Contact information
Practice address
644 NAPLES ST, CHULA VISTA, CA 91911-1636
(619) 744-5355
(619) 744-5391
Mailing address
644 NAPLES ST, CHULA VISTA, CA 91911-1636
(619) 744-5355
(619) 744-5391
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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