Organization · NPI-2

Back To Prevention INC

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · San Diego, CA

NPI number1245081157
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1245081157
Entity type
Organization (NPI-2)
Legal business name
Back To Prevention INC
Organization subpart
No
Enumeration date
Mar 28, 2024
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine––Yes

Practice location

3706 Ruffin Rd Ste 129
San Diego, CA 92123-1812

Phone 858-587-1822 · Fax 858-587-8967

Mailing address

3604 Alexia Pl
San Diego, CA 92116-2235

Phone 619-517-8748 · Fax 858-587-8967

Authorized official

Elly Hann
President
6195178748

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