Organization
FLORA I DANQUE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLORA ISHIHARA DANQUE MD (OWNER)
(619) 441-1027
Entity
Organization
Contact information
Practice address
7918 EL CAJON BLVD, SUITE N322, LA MESA, CA 91942-6719
(619) 441-1027
(619) 741-9422
Mailing address
7918 EL CAJON BLVD, SUITE N322, LA MESA, CA 91942-6719
(619) 441-1027
(619) 741-9422
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A62874
CA
314000000X
Skilled Nursing Facility
A62874
CA
Other
Enumeration date
02/12/2009
Last updated
05/08/2014
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