Organization
FUNCTIONMD MEDICAL CENTER
Active
Organization
FUNCTIONMD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CHEN MD (CEO)
(949) 682-8020
Entity
Organization
Contact information
Practice address
215 S HICKORY ST, SUITE 118, ESCONDIDO, CA 92025-4359
(760) 432-6644
(760) 739-8213
Mailing address
215 S HICKORY ST, SUITE 118, ESCONDIDO, CA 92025-4359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A102762
CA
Other
Enumeration date
07/23/2010
Last updated
09/07/2010
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