Organization
BACK TO PREVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLY HANN DO, MS (OWNER MANAGER)
(619) 517-8748
Entity
Organization
Contact information
Practice address
3706 RUFFIN RD # 129, SAN DIEGO, CA 92123-1812
(858) 587-1822
(858) 587-8967
Mailing address
3604 ALEXIA PL, SAN DIEGO, CA 92116-2235
(619) 517-8748
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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