Organization
SUITEDOC SPECIALTY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVAMARIE TABALON (COO)
(619) 829-3982
Entity
Organization
Contact information
Practice address
655 EUCLID AVE STE 301, NATIONAL CITY, CA 91950-2972
(844) 377-8483
Mailing address
7660 FAY AVE # 351, LA JOLLA, CA 92037-0021
(844) 377-8483
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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