EHPP CHESTNUT RIDGE LLC

NPI: 1992940068 · Organization · Active

Primary Specialty

Non-Pharmacy Dispensing Site

Practice Location

911 LIGONIER ST
101
LATROBE, PA 15650-1805 Map ↗
Phone: 725-537-8518

Mailing Address

5626 OBERLIN DR
SUITE 110
SAN DIEGO, CA 92121-1705 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Non-Pharmacy Dispensing Site Primary (license: MD039198, PA)

NPI Registration

Enumerated: 2008-12-03

Last CMS Update: 2012-10-23