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NPI Code Detail

MEDICARE: SOUTHWEST & ASSOCIATES

MEDICARE: SOUTHWEST & ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1467572586
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST & ASSOCIATES
Provider Business Mailing Address
First Line : 1660 HOTEL CIR N STE 302
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-295-4400
Fax Number : 619-297-3753
Provider Business Practice Location Address
First Line : 1660 HOTEL CIR N STE 302
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-295-4400
Fax Number : 619-297-3753
Authorized Official
Title or Position : GENERAL COUNCIL COO
Name : MR. SHAWN KELLY
Credential :
Telephone Number : 619-295-4400
Provider Enumeration Date : 03/30/2007
Last Update Date : 08/22/2020

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Directions to “SOUTHWEST & ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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