Provider Demographics
NPI:1326379926
Name:ARMT MEDICAL SPECIALISTS, INC
Entity Type:Organization
Organization Name:ARMT MEDICAL SPECIALISTS, INC
Other - Org Name:PROGRESSIVE MEDICAL SPECIALISTS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:O'ROURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-286-4600
Mailing Address - Street 1:4974 EL CAJON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-4654
Mailing Address - Country:US
Mailing Address - Phone:619-286-4600
Mailing Address - Fax:619-286-0060
Practice Address - Street 1:4974 EL CAJON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4654
Practice Address - Country:US
Practice Address - Phone:619-286-4600
Practice Address - Fax:619-286-0060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37-19261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone