Organization
FAMILY WELLNESS MEDICAL CORPORATION
Active
Other names
FAMILY WELLNESS MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABATUNDE ADEGBITE JINADU MEDICAL DOCTOR (PRESIDENT/PRINCIPAL)
(661) 302-9884
Entity
Organization
Contact information
Practice address
3582 NATIONAL AVE, SUITE #2, SAN DIEGO, CA 92113-3157
(619) 338-0787
(619) 338-0782
Mailing address
190 AVENIDA ALTAMIRA, CHULA VISTA, CA 91914-4602
(619) 338-0787
(619) 338-0782
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
C038721
CA
208D00000X
General Practice Physician
Primary
C038721
CA
Other
Enumeration date
10/26/2007
Last updated
12/10/2009
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