PROGRESSIVE MEDICAL SPECIALISTS NPI 1457533747

NPI Information

PROGRESSIVE MEDICAL SPECIALISTS is a methadone clinic center in San Diego, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. PROGRESSIVE MEDICAL SPECIALISTS NPI is 1457533747. The provider is registered as an organization entity type.

The provider's business location address is:

4974 EL CAJON BLVD
SUITE A
SAN DIEGO, CA
ZIP 92115-677
Phone: (619) 286-4600
Fax: (619) 286-0060

The provider's authorized official is Tim Boylan .
The authorized official title is Director and has the following contact phone number (619) 286-4600.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 11/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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