NPI 1134668452

Your Spa

Organisation Health Maintenance Organization San Diego, CA

Practice location

Address: 3609 4th Ave, San Diego, CA 92103-4105
Phone: (619) 255-0789

Authorised official

Name: Antoinett M Castro
Title: Licensed Massage Therapist
Phone: (619) 255-0789

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 32539 (CA)

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1134668452
Entity type: Organization
NPI issued: 20 Feb 2017
Record last updated: 20 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.