Organization
ALTERED STATES RESEARCH GROUP, INC.
Active
Other names
ASRG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES I. KNOLL M.D. (DIRECTOR)
(619) 481-8416
Entity
Organization
Contact information
Practice address
3511 CAMINO DEL RIO S, SUITE 404, SAN DIEGO, CA 92108-4003
(619) 481-8416
(619) 516-3993
Mailing address
3511 CAMINO DEL RIO S, SUITE 404, SAN DIEGO, CA 92108-4003
(619) 481-8416
(619) 516-3993
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A100046
CA
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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