Organization
JILL S COTTELL M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL COTTEL (OWNER/PROVIDER)
(858) 312-1672
Entity
Organization
Contact information
Practice address
15644 POMERADO RD, SUITE 400, POWAY, CA 92064-2400
(858) 312-1672
(858) 912-6421
Mailing address
15644 POMERADO RD, STE 400, POWAY, CA 92064-2400
(858) 312-1672
(858) 912-6421
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A65247
CA
Other
Enumeration date
11/08/2007
Last updated
12/16/2010
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