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780 Bay Blvd Ste 203 Chula Vista CA 91910-5261 | |
| (619) 713-3571 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 780 Bay Blvd Ste 203, Chula Vista, California |
| Authorized Official Name and Position | Robert Zalewski- Zaragoza (OWNER) |
| Authorized Official Contact | 6198422442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
780 Bay Blvd Ste 203 Chula Vista CA 91910-5261 Ph: (619) 842-2442 | 780 Bay Blvd Ste 203 Chula Vista CA 91910-5261 Ph: (619) 713-3571 |
| NPI Number | 1487257846 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487257846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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