Organization
SOUTHWEST PULMONARY MEDICAL GROUP A MEDICAL CORPORATION
Active
Other names
South Bay Pulmonary Medical Group, Southbay Pulmonary Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO LIRA MD (PRESIDENT)
(619) 482-7301
Entity
Organization
Contact information
Practice address
841 KUHN DR, SUITE 200, CHULA VISTA, CA 91914-4523
(619) 482-7301
(619) 482-7302
Mailing address
841 KUHN DR, SUITE 200, CHULA VISTA, CA 91914-4523
(619) 482-7301
(619) 482-7302
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A33913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A339130
—
CA
Enumeration date
07/26/2005
Last updated
05/24/2023
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