Organization
THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P. SCOTT RICKE M.D. (MEDICAL DIRECTOR)
(858) 678-0220
Entity
Organization
Contact information
Practice address
4150 REGENTS PARK ROW, SUITE 360, LA JOLLA, CA 92037-9124
(858) 678-0220
Mailing address
8875 COSTA VERDE BLVD, APT 407, SAN DIEGO, CA 92122-6656
(858) 678-0220
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
37788
CA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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