Kiley San Martin, CADC

NPI 1639210958 · on the registry since 2007 · sole proprietor

Practice

Address: 7200 Parkway Dr
Suite 113
La Mesa, CA 91942
Phone: (619) 589-0552
Fax: (619) 589-0205
Organisation at this address: Bh-Sd Rx, Llc
Bh-Sd Rx, Llc
Jcs-Manzanita
John W. Allen, M.D.
Samuel O T Etchie Md Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California