Organization
TELEHEALTH CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LEASAU (CEO)
(619) 204-6232
Entity
Organization
Contact information
Practice address
6088 BOUNTY ST, SAN DIEGO, CA 92120-2942
(619) 204-6232
Mailing address
6088 BOUNTY ST, SAN DIEGO, CA 92120-2942
(619) 204-6232
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
CA
Other
Enumeration date
04/11/2016
Last updated
07/21/2022
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