Organization
ASHEH & DAUGHETY MEDICAL CORPORATION
Active
Other names
Vitality Wellness Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DAUGHETY D.O. (PRESIDENT)
(619) 929-4343
Entity
Organization
Contact information
Practice address
16766 BERNARDO CENTER DR STE 206, SAN DIEGO, CA 92128-2502
(858) 848-5249
(451) 728-9751
Mailing address
12842 STONE CANYON RD, POWAY, CA 92064-2037
(619) 929-4343
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
Other
Enumeration date
08/14/2021
Last updated
10/19/2021
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