Organization
9AMHEALTH MEDICAL GROUP OF KANSAS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL DISTEFANO PHARMD (OPERATIONS MANAGER)
(380) 400-9215
Entity
Organization
Contact information
Practice address
914 N COAST HIGHWAY 101 STE A, ENCINITAS, CA 92024-2074
(202) 932-9958
(844) 927-4824
Mailing address
914 N COAST HIGHWAY 101 STE A, ENCINITAS, CA 92024-2074
(202) 932-9958
(844) 927-4824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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