| Sands-smith | |
|
995 Gateway Center Way Ste 108 San Diego CA 92102-4544 | |
| (858) 551-0276 | |
| (848) 454-9796 |
| Full Name | Sands-smith |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 995 Gateway Center Way Ste 108, San Diego, California |
| Authorized Official Name and Position | Mariacecilia Smithlanatta (CFO) |
| Authorized Official Contact | 8585510276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sands-smith Po Box 9032 La Jolla CA 92038-9032 Ph: (858) 551-0276 | Sands-smith 995 Gateway Center Way Ste 108 San Diego CA 92102-4544 Ph: (858) 551-0276 |
| NPI Number | 1871794883 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871794883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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