Organization
FREDERICK W CLOSE, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH A MESSINA (OFFICE MANAGER)
(619) 462-0900
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG 3 STE 156, LA MESA, CA 91942-3020
(619) 462-0900
(619) 462-3584
Mailing address
5565 GROSSMONT CENTER DR, BLDG 3 STE 156, LA MESA, CA 91942-3020
(619) 462-0900
(619) 462-3584
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C36625
CA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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