Organization
LA JOLLA SOL VENTURES INC
Active
Other names
Coast Physical Therapy and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE R HIGGINS (BILLING MANAGER)
(858) 999-4211
Entity
Organization
Contact information
Practice address
8950 VILLA LA JOLLA DR STE A125, LA JOLLA, CA 92037-1706
(858) 452-3502
(858) 452-3503
Mailing address
8950 VILLA LA JOLLA DR STE A125, LA JOLLA, CA 92037-1706
(858) 452-3502
(858) 452-3503
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
30242
CA
Other
Enumeration date
06/11/2012
Last updated
10/03/2018
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