Organization
WELLHAVEN PRIMARY CARE
Active
Other names
Wellhaven Primary Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILLION T HARRIS MD (OWNER)
(619) 752-2280
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DR STE 303, SAN DIEGO, CA 92120-5181
(619) 752-2280
Mailing address
5663 BALBOA AVE # 517, SAN DIEGO, CA 92111-2705
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/04/2020
Last updated
07/04/2020
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