Organization
PHYSICIAN SUPPORT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFA CASTRO (BILLING DEP)
(619) 995-0252
Entity
Organization
Contact information
Practice address
8780 19TH ST # 201, ALTA LOMA, CA 91701-4608
(619) 995-0252
Mailing address
8780 19TH ST # 201, ALTA LOMA, CA 91701-4608
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
CA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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