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
H G HEEDER CHIROPRACTIC INC
THE RESERVOIR PHYSICANS SURGERY CENTER, LLC
COUNTY OF SAN DIEGO
PATRYCJA STEWART DENTAL CORP
ESHA PATEL, DDS, MSD, INC.
WORK SMART PHYSICAL THERAPY
SHALINI THATTE DMD INC
JORDAN ZIPKIN PA
ROBERT B JACOB, DDS, INC
SYNERGY SURGERY CENTER OF SAN DIEGO LLC