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Organization

APEX PROSTHETICS INSTITUTE OF SAN DIEGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAWN DAVID MOCK C.P, D.C (PROSTHETIST)
(619) 501-5383
Entity
Organization

Contact information

Practice address
3585 5TH AVE, SUITE 100, SAN DIEGO, CA 92103-5081
(619) 501-5383
(619) 501-5390
Mailing address
3585 5TH AVE, SUITE 100, SAN DIEGO, CA 92103-5081
(619) 501-5383
(619) 501-5390

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP003901
CA

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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