Provider Demographics
NPI:1427734144
Name:TRUE HEALTH MEDICAL SAN DIEGO PC
Entity type:Organization
Organization Name:TRUE HEALTH MEDICAL SAN DIEGO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-258-3510
Mailing Address - Street 1:9663 TIERRA GRANDE ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4569
Mailing Address - Country:US
Mailing Address - Phone:858-258-3510
Mailing Address - Fax:
Practice Address - Street 1:9663 TIERRA GRANDE ST STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4569
Practice Address - Country:US
Practice Address - Phone:858-258-3510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty