Organization
UPMC COMMUNITY MEDICINE INC
Active
Parent organization
MEDVANTX, INC.
Other names
COMPREHENSIVE CARE ASSOCIATES - UPMC - WEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1024 W VIEW PARK DR, WEST VIEW, PA 15229-1771
(412) 223-1012
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
MD062825Y
PA
Other
Enumeration date
10/03/2012
Last updated
10/23/2012
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