Organization
LIGHTBRIDGE MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CAMERON (CONTROLLER)
(858) 458-2992
Entity
Organization
Contact information
Practice address
6155 CORNERSTONE CT E, SUITE #220, SAN DIEGO, CA 92121-4737
(858) 458-2992
(858) 362-4027
Mailing address
6155 CORNERSTONE CT E, SUITE #220, SAN DIEGO, CA 92121-4737
(858) 458-2992
(858) 362-4027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CY415A
MEDICARE PTAN
CA
Enumeration date
11/05/2009
Last updated
01/04/2012
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