Organization
VIRTUE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DAVIS (COO)
(949) 973-3704
Entity
Organization
Contact information
Practice address
15721 POMERADO RD, POWAY, CA 92064-2021
(949) 973-3704
(760) 400-4075
Mailing address
806 AVENIDA PICO # I-292, SAN CLEMENTE, CA 92673-5639
(949) 973-3704
(760) 400-4075
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
09/30/2020
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