Organization
INTRINSIC LIFE SCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WESTERMAN PHD (PRESIDENT AND CEO)
(858) 459-1758
Entity
Organization
Contact information
Practice address
505 COAST BOULEVARD SOUTH, SUITE 408, LAJOLLA, CA 92037
(877) 457-5888
(848) 459-3794
Mailing address
505 COAST BOULEVARD SOUTH, SUITE 408, LAJOLLA, CA 92037
(877) 457-5888
(848) 459-3794
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00345784
CA
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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