Individual
MICHAEL JOSE MALTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4141 PACIFIC HWY, SAN DIEGO, CA 92110-2030
(619) 393-2000
Mailing address
440 N BARRANCA AVE # 8656, COVINA, CA 91723-1722
(415) 913-9068
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-BRUTXA
CA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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