Organization
SOAP MAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ROSSI PHD. (CEO)
(760) 305-7528
Entity
Organization
Contact information
Practice address
3230 WARING COURT, SUITE A, OCEANSIDE, CA 92056
(760) 305-7528
(760) 509-4410
Mailing address
3230 WARING COURT, SUITE A, OCEANSIDE, CA 92056
(760) 305-7528
(760) 509-4410
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
37-21
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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