Organization
FLUVACCINE.ORG
Active
Organization
FLUVACCINE.ORG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DOONAN M.D. (MEDICAL DIRECTOR)
(855) 812-2140
Entity
Organization
Contact information
Practice address
970 TURQUOISE ST, SUITE B, SAN DIEGO, CA 92109-1141
(877) 600-0358
Mailing address
970 TURQUOISE ST, SUITE B, SAN DIEGO, CA 92109-1141
(877) 600-0358
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A78014
CA
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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