Organization
DREW BELNAP, MD, A MEDICAL CORPORATION
Active
Other names
South Coast TMS and Ketamine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DREW BELNAP M.D. (PRESIDENT)
(760) 331-7735
Entity
Organization
Contact information
Practice address
4405 MANCHESTER AVE, SUITE 101, ENCINITAS, CA 92024-4940
(760) 331-7735
Mailing address
4405 MANCHESTER AVE, SUITE 101, ENCINITAS, CA 92024-4940
(760) 331-7735
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A107743
CA
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
A107743
CA
Other
Enumeration date
09/06/2016
Last updated
01/11/2017
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