Organization
HEALTHCARE MEDICAL GROUP OF LA MESA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENU PRABAKER M..D. (CEP)
(619) 698-0606
Entity
Organization
Contact information
Practice address
7339 EL CAJON BLVD, SUITE I, LA MESA, CA 91941-3435
(619) 698-0606
(619) 698-0609
Mailing address
7339 EL CAJON BLVD, SUITE I, LA MESA, CA 91941-3435
(619) 698-0606
(619) 698-0609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42653
CA
Other
Enumeration date
01/30/2007
Last updated
08/23/2013
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