Organization
LIFE MEDICAL PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINE SARGSYAN (DIRECTOR OF OPERATIONS)
(818) 823-6717
Entity
Organization
Contact information
Practice address
4776 ALLIED RD, SAN DIEGO, CA 92120-2412
(818) 823-6717
Mailing address
4776 ALLIED RD, SAN DIEGO, CA 92120-2412
(818) 823-6717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
10/02/2023
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