Organization
CI MA MD INC
Active
Other names
CI MA MD
Organization subpart
No
Provider details
NPI number
Authorized official
CI MA MD (PRESIDENT)
(858) 848-5386
Entity
Organization
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(858) 848-5386
Mailing address
8644 NEW SALEM ST UNIT 2, SAN DIEGO, CA 92126-7432
(858) 848-5386
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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