| NPI | 1861662520 |
|---|---|
| Doing Business As | LIFESCORE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | PHILLIP MARK MILGRAM President 858-455-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA A35411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G47356) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A43603) | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA G47356) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA A35411) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G47356) | |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2008-11-18 |