EAST LAKE MEDICAL, LLC
Organization (NPI-2)
Active
Internal Medicine, Pulmonary Disease
Provider Information
- NPI Number
1700121464- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 841 KUHN DR STE 200, CHULA VISTA, CA, 919144523
- Phone
- (619) 482-7301
- Fax
- (619) 482-6950
Specialties & Taxonomies
Internal Medicine, Pulmonary Disease
Primary License: CA #A48551