| NPI | 1295783652 |
|---|---|
| Doing Business As | MBPT NO. 1 LLC |
| Entity Type | Organization |
| Authorized Contact | KENNETH C FREDERICK CEO 858-642-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 481952) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-09-06 |