Organization
EAST COUNTY HEALTH CENTER INC
Active
Parent organization
MEDVANTX, INC
Other names
DR MUMATZ ALMANSOUR
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
DANIELLE GREEN (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
330 S MAGNOLIA AVE, 101, EL CAJON, CA 92020-5290
(619) 593-3007
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A55926
CA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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