| NPI | 1134445182 |
|---|---|
| Doing Business As | BODYLOGICMD OF SAN DIEGO |
| Entity Type | Organization |
| Authorized Contact | MELINDA SILVA Director 858-277-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A54611) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |