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Organization

HEALTHCARE MEDICAL GROUP OF LA MESA

Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDVANTX, INC.
Authorized official
SCOTT PETERSON (CFO)
(858) 625-2990
Entity
Organization

Contact information

Practice address
7339 EL CAJON BLVD, LA MESA, CA 91941-3435
(619) 698-0606
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A42653
CA

Other

Enumeration date
11/26/2008
Last updated
01/13/2017
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