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Organization

REN HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC PAN M.D. (PRESIDENT/OWNER)
(858) 784-0500
Entity
Organization

Contact information

Practice address
5955 MIRA MESA BLVD, SUITE C, SAN DIEGO, CA 92121-4304
(858) 784-0500
(858) 876-1529
Mailing address
5955 MIRA MESA BLVD, SUITE C, SAN DIEGO, CA 92121-4304
(858) 784-0500
(858) 876-1529

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2436801
CA

Other

Enumeration date
07/14/2008
Last updated
07/14/2008
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