Organization
E L RACEK MD FACS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD L. RACEK M.D. (OWNER)
(619) 482-0082
Entity
Organization
Contact information
Practice address
750 MEDICAL CENTER COURT #5, CHULA VISTA, CA 91911
(619) 482-0082
Mailing address
750 MEDICAL CENTER COURT #5, CHULA VISTA, CA 91911
(619) 482-0082
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
002702-06
CA
Other
Enumeration date
01/30/2006
Last updated
10/28/2013
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