Individual
A PYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5348 UNIVERSITY AVE, SUITE 101, SAN DIEGO, CA 92105-8025
(619) 229-2999
(619) 229-2998
Mailing address
5348 UNIVERSITY AVE, SUITE 101, SAN DIEGO, CA 92105-8025
(619) 229-2999
(619) 229-2998
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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