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Contact Information

FUNCTION FOR LIFE PT INC
227 N EL CAMINO REAL SUITE 103
ENCINITAS, CA92024
 Phone: 760-230-2316
 Fax: 760-230-2317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for FUNCTION FOR LIFE PT INC

NPI # 1811310170
LBN Legal business name FUNCTION FOR LIFE PT INC
Authorized official BRETT BLOOM - (CFO, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2014
Last updated 01/22/2014 - About 12 years ago
Identifiers
CA License # 40858
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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