Organization
INTEGRATIVE AND HOLISTIC CENTER FOR HORMONE BALANCING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDABEH MOEIN M.D. (OWNER/ PHYSICIAN)
(310) 465-9233
Entity
Organization
Contact information
Practice address
2892 JEFFERSON STREET, CARLSBAD, CA 92008
(760) 434-9500
(619) 260-0707
Mailing address
11956 BERNARDO PLAZA DRIVE, 141, SAN DIEGO, CA 92128
(858) 521-0806
(858) 521-0808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A76561
CA
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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