05D0949917 CLIA NUMBER - ADULT MEDICINE CLINIC, INC

Laboratory Demographics

CLIA Number: 05D0949917

Facility Name: ADULT MEDICINE CLINIC, INC

Facility Address:
450 4TH AVE STE #201
CHULA VISTA, CA
ZIP 91910
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Facility Phone Number: 619 476-9054

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194171454

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0949917
LAB Type Physician Office
Facility Name ADULT MEDICINE CLINIC, INC
Street 450 4TH AVE STE #201
City CHULA VISTA
State CA
ZIP 91910
Phone 619 476-9054
CertificateType 4
CertificateEffectiveDate 8/13/2022
CertificateExpirationDate 8/12/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024