Organization
BACK2LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA S BARON RN (PARTNER)
(619) 271-5166
Entity
Organization
Contact information
Practice address
835 3RD AVE, SUITE A-2, CHULA VISTA, CA 91911-1352
(619) 271-5166
(888) 853-4631
Mailing address
17530 VENTURA BLVD, ENCINO, CA 91316-3818
(818) 300-0025
(888) 853-4631
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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