Organization
FBLT MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BIRGER GREG BACINO (OWNER)
(858) 525-5744
Entity
Organization
Contact information
Practice address
5755 OBERLIN DR STE 301, SAN DIEGO, CA 92121-4717
(858) 935-7745
(888) 214-0437
Mailing address
PO BOX 3881, RANCHO SANTA FE, CA 92067-3881
(858) 935-7745
(888) 214-0437
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
04/06/2015
Last updated
07/23/2015
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