SO-CAL PROVIDERS MEDICAL GROUP, INC. is a specialist in La Jolla, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SO-CAL PROVIDERS MEDICAL GROUP, INC. NPI is 1871785899. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9850 GENESEE AVE
STE 560
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 455-6330
Fax: (858) 455-5408
The provider's authorized official is Donald Lyle Buehler .
The authorized official title is President and has the following contact phone number (858) 455-6330.
The enumeration date for this NPI number is 8/14/2007 and was last updated on 4/20/2008.