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FIT ATHLETIC CMR LLC NPI 1952835472


NPI Information

NPI: 1952835472
Provider Name: FIT ATHLETIC CMR LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
12171 WORLD TRADE DR
SAN DIEGO, CA
ZIP 92128
Phone: (858) 674-4480
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FIT ATHLETIC CMR LLC is a general practice in San Diego, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FIT ATHLETIC CMR LLC NPI is 1952835472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12171 WORLD TRADE DR
SAN DIEGO, CA
ZIP 92128-709
Phone: (858) 674-4480

The provider's authorized official is Chad Shaw .
The authorized official title is General Manager and has the following contact phone number (858) 675-4480.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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