Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC
Other names
Latterman Family Health Center - UPMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
2347 FIFTH AVE, MCKEESPORT, PA 15132-1126
(412) 673-2150
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD422632
PA
Other
Enumeration date
12/07/2007
Last updated
05/07/2013
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