DUANGTAVAN SOURIVONG

SAN DIEGO, CA
NPI1285821389
Entity TypeOrganization
Authorized ContactBOBBY STEARNS
Clinic Director
619-262-8000
Organization Subpart ?No
Primary Taxonomy261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date2007-10-02
Last Update Date2007-10-02
Business Address
DUANGTAVAN SOURIVONG
3940 HOME AVE
SAN DIEGO, CA 92105-5952
Phone number: 619-262-8000
Mailing Address
DUANGTAVAN SOURIVONG
4852 JARRETT CT
SAN DIEGO, CA 92113-3598
Phone number:
Similar providers in San Diego, CA
CURE STAT INFUSION SERVICES INC
HEART OF SAN DIEGO SURGICAL CENTER LLC
UNITED SLEEP APNEA SERVICES
HELEN L. GARON DDS, INC.
FAITH BARREYRO, DMD, INC.
ONWARD PHYSICAL THERAPY AND WELLNESS CENTER
JUAN C. BOSQUE, D.D.S., INC.
NEUROEVOLVE INTEGRATIVE HEALTH, A PROFESSIONAL PSYCHOLOGY CORPORATION
SAN DIEGO DIALYSIS SERVICES, INC.
CENTRAL SAN DIEGO SURGERY CENTER INC.