Organization
IMAGIWILL MED CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARAZ TAWFIQUE M.D. (OWNER)
(619) 356-1446
Entity
Organization
Contact information
Practice address
1350 COLUMBIA ST, SUITE 800, SAN DIEGO, CA 92101-3454
(619) 356-1446
(619) 618-4530
Mailing address
PO BOX 1770, LA MESA, CA 91944-1770
(619) 464-1165
(619) 567-1011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A109527
CA
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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