Organization
PROGRESSIVE MEDICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BOYLAN (DIRECTOR)
(619) 286-4600
Entity
Organization
Contact information
Practice address
4974 EL CAJON BLVD, SUITE A, SAN DIEGO, CA 92115-4677
(619) 286-4600
(619) 286-0060
Mailing address
4974 EL CAJON BLVD, SUITE A, SAN DIEGO, CA 92115-4677
(619) 286-4600
(619) 286-0060
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
37-19
CA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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