Organization
SOUTH BAY PHYSICAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT ALLAN DC (CLINIC DIRECTOR)
(619) 990-0543
Entity
Organization
Contact information
Practice address
816 PASEO DEL REY, CHULA VISTA, CA 91910-7835
(619) 990-0543
Mailing address
3980 LAGO DI GRATA CIR, SAN DIEGO, CA 92130-8601
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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