05D2065695 CLIA NUMBER - CROWNVIEW MEDICAL GROUP INC

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Laboratory Demographics

CLIA Number: 05D2065695

Facility Name: CROWNVIEW MEDICAL GROUP INC

Facility Address:
158 C AVE
CORONADO, CA
ZIP 92118
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Facility Phone Number: 619 435-5400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598928798

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	05D2065695
LAB Type	Physician Office
Facility Name	CROWNVIEW MEDICAL GROUP INC
Street	158 C AVE
City	CORONADO
State	CA
ZIP	92118
Phone	619 435-5400
CertificateType	4
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	Waiver

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