Lawrence S Pohl MD A Professional Corporation
Clinic/Center, Primary Care in San Diego, CA. Organization (NPI-2).
NPI number1407029366
StatusActive
Last updated in NPPESMay 14, 2009
Details
- NPI
- 1407029366
- Entity type
- Organization (NPI-2)
- Legal business name
- Lawrence S Pohl MD A Professional Corporation
- Organization subpart
- No
- Enumeration date
- Apr 10, 2008
- Last updated
- May 14, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | G43808 | CA | Yes |
Other names
- Mission Valley Medical Clinc (Doing Business As)
Practice location
5333 Mission Center RdSuite 100
San Diego, CA 92108-1302
Phone 619-295-3355 · Fax 619-542-1317
Mailing address
5333 Mission Center RdSuite 100
San Diego, CA 92108-1302
Phone 619-295-3355 · Fax 619-542-1317
Authorized official
Lawrence Stuart Pohl
Medical Director
6192953355
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