| Fit Athletic Club San Diego Llc | |
|
350 10th Ave San Diego CA 92101-7496 | |
| (619) 764-5348 | |
| Not Available |
| Full Name | Fit Athletic Club San Diego Llc |
|---|---|
| Speciality | General Practice |
| Location | 350 10th Ave, San Diego, California |
| Authorized Official Name and Position | Chad Shaw (GENERAL MANAGER) |
| Authorized Official Contact | 8586754480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fit Athletic Club San Diego Llc 350 10th Ave San Diego CA 92101-7496 Ph: (619) 764-5348 | Fit Athletic Club San Diego Llc 350 10th Ave San Diego CA 92101-7496 Ph: (619) 764-5348 |
| NPI Number | 1073047593 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073047593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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