SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE is a non pharmacy dispensing site in San Diego, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE NPI is 1386914422. The provider is registered as an organization entity type.
The provider's business location address is:
374 H STREET
202
SAN DIEGO, CA
ZIP 92107
Phone: (619) 426-4546
The provider's authorized official is Kenny Heine .
The authorized official title is Sr Director Ops and has the following contact phone number (858) 625-2990.
The CLIA number assigned to this NPI record is 05D2060632 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/6/2012 and was last updated on 10/25/2012.