| La Jolla Psychiatric Associates | |
|
5190 Governor Dr. Suite 102 San Diego CA 92122-2846 | |
| (858) 452-9969 | |
| (858) 452-5729 |
| Full Name | La Jolla Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5190 Governor Dr., San Diego, California |
| Authorized Official Name and Position | Matthew Robert Zetumer (PRESIDENT) |
| Authorized Official Contact | 8584529969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Jolla Psychiatric Associates 5190 Governor Dr. Suite 102 San Diego CA 92122-2846 Ph: (858) 452-9969 | La Jolla Psychiatric Associates 5190 Governor Dr. Suite 102 San Diego CA 92122-2846 Ph: (858) 452-9969 |
| NPI Number | 1720013170 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720013170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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