Organization
MYOFASCIAL HEALTH CENTER OF LA JOLLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDRA MOORE (OFFICE MANAGER)
(858) 454-9769
Entity
Organization
Contact information
Practice address
7450 GIRARD AVE, LA JOLLA, CA 92037-5142
(858) 454-9769
(858) 454-0384
Mailing address
7450 GIRARD AVE, LA JOLLA, LA JOLLA, CA 92037-5142
(858) 454-9769
(858) 454-0384
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2877502
CA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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