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1508091307
MEDAID CENTER
LA JOLLA, CA
NPI
1508091307
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Entity Type
Organization
Authorized Contact
MARK C HENDERSON
CEO
858-405-9653
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA C50464)
Enumeration Date
2009-05-22
Last Update Date
2009-08-15
Business Address
MEDAID CENTER
5580 LA JOLLA BLVD SUITE 611
LA JOLLA, CA 92037-7651
Phone number: 858-405-9653
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Mailing Address
MEDAID CENTER
5580 LA JOLLA BLVD SUITE 611
LA JOLLA, CA 92037-7651
Phone number:
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