Progressive Medical Specialists Llc in San Diego - Methadone
Progressive Medical Specialists Llc - NPI 1932251550
Progressive Medical Specialists Llc is a Methadone in San Diego, California. Progressive Medical Specialists Llc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Progressive Medical Specialists Llc is 1932251550. The last update date is 2007-11-29.
Progressive Medical Specialists Llc's current location address is 4974 El Cajon Blvd, San Diego, California. You can contact this provider via phone number 6192864600 and fax number 3192860060. The mailing address for Progressive Medical Specialists Llc is 4974 El Cajon Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Medical Specialists Llc |
|---|---|
| Address | 4974 El Cajon Blvd, San Diego, California |
| Phone Number | 6192864600 |
| Fax Number | 3192860060 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Boylan Timothy |
| Telephone Number | 6192864600 |
NPI Number Detail
| NPI Number | 1932251550 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 4974 El Cajon Blvd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921154677 |
| Phone Number | 6192864600 |
| Fax Number | 3192860060 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 37-19 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8545 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Progressive Medical Specialists Llc by the Centers for Medicare & Medicaid Services?
The Progressive Medical Specialists Llc has been issued the NPI (National Provider Identifier) 1932251550 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Progressive Medical Specialists Llc is located?
The Progressive Medical Specialists Llc is situated at the following address: 4974 El Cajon Blvd, San Diego, CA, 921154677.
What is Progressive Medical Specialists Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Progressive Medical Specialists Llc is Methadone, and the corresponding taxonomy classification code for this specialized field is 261Qm2800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932251550 to Progressive Medical Specialists Llc?
The Progressive Medical Specialists Llc received its 1932251550 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
As of what date were the details related to Progressive Medical Specialists Llc most recently updated or revised?
The information pertaining to Progressive Medical Specialists Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-29.
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